Individual provider Active NPI

Brenen Swofford, D.O.

  • Hematology & Oncology Physician
  • Spokane, WA
National Provider Identifier
1447614110
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
OP61212767 Issued in WA
Practice address
605 E Holland Ave Ste 100
Spokane, WA 99218-1246
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X OP61212767 WA Primary
Hematology & Oncology Physician 207RH0003X 04511 KY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

605 E Holland Ave Ste 100
Spokane, WA 99218-1246

Mailing address

1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

Other practice location 1

1111 E McDowell Rd
Banner University Medical Center Phoenix LL2
Phoenix, AZ 85006-2612
Phone (602) 839-2296

Other practice location 2

800 Rose St Ste Cc-402
Lexington, KY 40536-7001
Phone (859) 323-1786

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
I20220627003313 WA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5193099414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

605 E Holland Ave
Suite 100
Spokane, WA 99218-1246
Phone (509) 228-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04511KYMDHematology & Oncology Physician
OP61212767WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S Hematology & Oncology CurrentSince Jul 1, 2022 Accepting new patients
Cancer Care Northwest Centers P S CurrentSince Jul 1, 2022 Accepting new patients

Locations

410 E King Ave
Chewelah, WA 99109
Phone (509) 935-8711

982 E Columbia Ave
Colville, WA 99114
Phone (509) 684-2561

1550 S Pioneer Way
Ste 350
Moses Lake, WA 98837
Phone (509) 793-9789

210 W Main Ave
Ritzville, WA 99169
Phone (509) 659-4800

601 S Sherman St
Spokane, WA 99202
Phone (509) 315-7414

605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

Interoperability endpoints

  • Direct secure messaging: bswofford16867@ukhcdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1447614110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E HOLLAND AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181246",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_2": "Banner University Medical Center Phoenix LL2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St Ste Cc-402",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-323-1786",
            "fax_number": "859-257-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOFFORD",
        "first_name": "BRENEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "OP61212767",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "04511",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.