Brennon Gary Jones, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.PA.70013431 Issued in WA

Practice address

18209 Sr 410 E Ste 303
Bonney Lake, WA 98391-5146

Phone

(253) 431-2249

NPI assigned

Oct 8, 2008

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Amh Series II Ut, LLC

  dba Ageless Men's Health

  • Primary Care Clinic/Center
  • St George, UT
  • NPI 1639785710
  NPD
• Ageless Men's Health Holdings, Inc

  dba Ageless Men's Health

  • Physician Assistant
  • Austin, TX
  • NPI 1386923597
  NPD (past)
• Total Orthopedics, LLC

  dba Ageless Men's Health

  • Specialist
  • Gilbert, AZ
  • NPI 1689823726
  NPD (past)
• Total Orthopedics,LLC

  dba Ageless Men's Health

  • Specialist
  • Glendale, AZ
  • NPI 1326302472
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1407007412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 SR 410 E STE 303",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-431-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18209 SR 410 E STE 303",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-431-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRENNON",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11918893-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.70013431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Johnson-Money, PHARM.D
• Emily Johnson, ATC
• Scott D Johnson, LMP
• Vicki Ann Johnson, LMHC
• Jason B Johnstone, CDP
• Peter Randolf Jones, RPH
• Taryn Joyce-Mendive
• Amy Lynn Justham, PHARM.D.
• Gurnit Kaur, PHARMACIST
• Samantha Keely

• Physician Assistant in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.