Brandon Gene Douglass
Individual provider Active NPI Surgery Physician · Chelan, WA
NPI 1356846448 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1356846448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- TL8974 (WY)
- Practice address
- 110 S Apple Blossom Dr
Chelan, WA 98816-8810 - Phone
- (509) 682-3300
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Washington School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health Physicians West LLC
Precision Surgical PC
Practice addresses (Care Compare)
1020 E 2ND St
Suite 201
Casper, WY 82601-2955
Phone (307) 233-0250
6600 E 2ND St
Suite a
Casper, WY 82609-4348
Phone (307) 333-4363
Hospital & facility affiliations
- Lake Chelan Community Hospital
- Banner Wyoming Medical Center
- Confluence Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230911002273 | WA | Practitioner - General Surgery | 5496003972 | Reassigns benefits to 2 organizations |
| I20260106004001 | WY | Practitioner - General Surgery | 5496003972 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29131 | MN | MD | Surgery Physician |
| 66304 | MN | MD | Surgery Physician |
| MD61445708 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians West LLC | Current |
Accepting new patients | |
| Banner Health Physicians West LLC | Current |
Accepting new patients | |
| Precision Surgical PC | Surgery | Current |
Accepting new patients |
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Wyoming Health Medical Group, LLC | Past | Accepting new patients |
Locations
110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300
219 E Johnson Ave
Chelan, WA 98816
Phone (509) 682-2511
131 S Apple Blossom Dr
Unit 112
Chelan, WA 98816
Phone (218) 791-8759
6600 E 2nd St
Ste A
Casper, WY 82609
Phone (307) 333-4363
1020 E 2nd St
Ste 201
Casper, WY 82601
Phone (307) 233-0250
1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29131 | MN | |
| Surgery Physician | 208600000X | 66304 | MN | |
| Surgery Physician | 208600000X | TL8974 | WY | Yes |
| Surgery Physician | 208600000X | MD61445708 | WA |
Addresses
Primary practice location
110 S Apple Blossom Dr
Chelan, WA 98816-8810
Mailing address
110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6138
Other providers in Chelan, WA
- Ann Diamond
- Melissa Dietrich
- Doctor Michael Travers Family Practice LLC
- Lijah S Doolin
- Jason Everett Doten
- Sandra Duron
- Edward Harold Edwards
- Crystal D. Ellis
- David Ellis
- Embrace Recovery Sud Services LLC
All providers in Chelan, WA · Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.