Individual provider Active NPI

Brennan Anthony Menninger, DPM

  • Podiatrist
  • Renton, WA
National Provider Identifier
1407365018
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO61152524 Issued in WA
Practice address
4300 Talbot Rd S Ste 102
Renton, WA 98055-6238
Phone
(425) 277-3668
Fax
(425) 277-0732
NPI assigned
Sep 26, 2017
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Podiatrist 213E00000X PO61152524 WA Primary

Addresses

Primary practice location

4300 Talbot Rd S Ste 102
Renton, WA 98055-6238

Mailing address

3439 E Lake Samm Shore LN NE
Sammamish, WA 98074-4345

Other practice location 1

3439 E Lake Samm Shore Ln NE
Sammamish, WA 98074-4345
Phone (425) 681-1646

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726002617 WA Practitioner - Podiatry 3072916261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.83
Promoting interoperability
100
Improvement activities
40
Cost
66.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO61152524WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4, King County Wa Multi-Specialty CurrentSince Jul 16, 2022 Accepting new patients
Northwest Foot & Ankle Center, PS Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 16, 2022 Accepting new patients
Public Hospital District No 4 King County Washington Multi-Specialty CurrentSince Nov 23, 2025 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients

Locations

4300 Talbot Rd S
Ste 102
Renton, WA 98055
Phone (425) 228-1919

35020 SE Kinsey St
Ste A
Snoqualmie, WA 98065
Phone (425) 396-7682

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1407365018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 E LAKE SAMM SHORE LN NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980744345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-277-3668",
            "fax_number": "425-277-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3439 E Lake Samm Shore Ln NE",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "980744345",
            "country_code": "US",
            "telephone_number": "425-681-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENNINGER",
        "first_name": "BRENNAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO61152524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.