Individual provider Active NPI

Meredith Blayne Brass, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Kirkland, WA
National Provider Identifier
1477751139
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
BC60304502 Issued in WA
Practice address
12822 124TH LN NE
Kirkland, WA 98034-7612
Phone
(309) 648-7008
NPI assigned
Jul 4, 2007
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X BC60304502 WA Primary

Addresses

Primary practice location

12822 124TH LN NE
Kirkland, WA 98034-7612

Mailing address

12822 124TH LN NE
Kirkland, WA 98034-7612
Phone (309) 648-7008

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
I20121112000579 WA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 9032285663 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BC60304502WAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 CurrentSince Sep 5, 2012 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Sep 5, 2012 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12822 124th Ln NE
Kirkland, WA 98034
Phone (425) 814-9840

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

Organizations & group practices 4

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1477751139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 124TH LN NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347612",
            "telephone_number": "309-648-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 124TH LN NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347612",
            "telephone_number": "309-648-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASS",
        "first_name": "MEREDITH",
        "middle_name": "BLAYNE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "BC60304502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.