Individual provider Active NPI

Sandra Jane Bremner-Dexter, MD

  • Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1386709012
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00033557 Issued in WA
Practice address
906 W 2ND Ave
Suite 600
Spokane, WA 99201-4538
Phone
(509) 458-5889
Fax
(509) 624-1216
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00033557 WA Primary

Addresses

Primary practice location

906 W 2ND Ave
Suite 600
Spokane, WA 99201-4538

Mailing address

906 W 2ND Ave
Suite 600
Spokane, WA 99201-4538
Phone (509) 458-5889

Other identifiers 3

IdentifierTypeStateIssuer
A7575OtherWABLUE CROSS #
DE2844OtherWABLUE SHIELD #
1101690MedicaidWA

Other names 1

  • Sandra Jane Bremner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000408 WA Practitioner - Psychiatry 1557349222 Reassigns benefits to 2 organizations
Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

221 N Wall St
Suite 202
Spokane, WA 99201-0822
Phone (206) 910-9476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00033557WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Solutions LLC CurrentSince Jan 1, 2018 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince May 14, 2025 Accepting new patients

Locations

221 N Wall St
Ste 202
Spokane, WA 99201
Phone (206) 910-9476

221 N Wall St
Spokane, WA 99201
Phone (206) 910-9476

1620 N Mamer Rd
Ste 100
Spokane Valley, WA 99216
Phone (509) 863-9779

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.sandrabremnerdexter@147765.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386709012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W 2ND AVE",
            "address_2": "SUITE 600",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014538",
            "telephone_number": "509-458-5889",
            "fax_number": "509-624-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 2ND AVE",
            "address_2": "SUITE 600",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014538",
            "telephone_number": "509-458-5889",
            "fax_number": "509-624-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMNER-DEXTER",
        "first_name": "SANDRA",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00033557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "A7575",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "DE2844",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101690",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BREMNER",
            "middle_name": "JANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.