Brian Graham Burwell, CDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60163916 Issued in WA

Practice address

18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533

Phone

(360) 394-8558

Fax

(360) 598-1724

NPI assigned

Dec 8, 2011

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Port Gamble S'Klallam TribeGroup PAC ID 6204737927, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.burwell.p1@direct.pgsklallamtribe.nextgenshare.com

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.

• Suquamish Tribal

  dba Suquamish Wellness Center

  • Adult Mental Health Clinic/Center
  • Suquamish, WA
  • NPI 1083747216

  Addiction (Substance Use Disorder), TX

  Medicare reassignment NPD
• Suquamish Tribal

  dba Suquamish Medical Clinic

  • Family Medicine Physician
  • Suquamish, WA
  • NPI 1114674942
  NPD

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1477821171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983921228",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE UNIT 107",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929533",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURWELL",
        "first_name": "BRIAN",
        "middle_name": "GRAHAM",
        "credential": "CDPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60163916",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60656654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bainbridge Therapy
• Angela K Barr
• Michael Boltwood, PHD
• Carl Russell Botefuhr, DC
• Sable Elizabeth Bruce, M.A.
• Jenny L Carr, LMP
• Rebecca Carr
• Michele Diane Clayton-Kaster
• Rodney J Dwyer, LMP
• Kristine Kelley Ewing, MD

• Addiction (Substance Use Disorder) Counselor in Suquamish, WA
• Providers in Suquamish, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.
• 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.