Individual provider Active NPI

Patrick Douglas Gorrell, DC

  • Chiropractor
  • Burien, WA
National Provider Identifier
1457864969
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60802666 Issued in WA
Practice address
619 SW 152ND St
Burien, WA 98166-2212
Phone
(206) 242-0998
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60802666 WA Primary

Addresses

Primary practice location

619 SW 152ND St
Burien, WA 98166-2212

Mailing address

619 SW 152ND St
Burien, WA 98166-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227000124 WA Practitioner - Chiropractic 3577821495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Medical CenterGroup PAC ID 8123317898, 2 clinicians
Backfire Inc PSGroup PAC ID 1557711694, 2 clinicians

Practice addresses (Care Compare)

10655 NE 4TH St
Suite 101
Bellevue, WA 98004-5022
Phone (206) 330-7065

203 14TH Ave E
Seattle, WA 98112-5223
Phone (206) 323-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Backfire Inc P S Chiropractor CurrentSince Feb 25, 2026 Accepting new patients

Locations

10655 NE 4th St
Ste 101
Bellevue, WA 98004
Phone (206) 330-7065

203 14th Ave E
Seattle, WA 98112
Phone (206) 323-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1457864969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662212",
            "telephone_number": "206-242-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "PATRICK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60802666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.