Active NPI
John Brooling, MD
- Gastroenterology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD60919002
- Practice address
- 1101 Madison St Ste 301
Seattle, WA 98104-3599 - Phone
- (206) 505-1300
- NPI assigned
- Apr 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 54323 | AZ | |
| Gastroenterology Physician | 207RG0100X | MD60919002 | WA | Primary |
Addresses
Primary practice location
1101 Madison St Ste 301
Seattle, WA 98104-3599
Mailing address
1101 Madison St Ste 301
Seattle, WA 98104-3599
Phone (206) 505-1300
Other practice location 1
3601 S 6th Ave
Tucson, AZ 85723-1442
Phone (520) 792-1450 ext. 4222
Other practice location 2
601 S Carr Rd Ste 100
Renton, WA 98055-5802
Phone (425) 227-3700
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrooling1073043@wm.providencedirect.org | Direct | |
| Direct Messaging Address | jbrooling1073043@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pacmed Clinics
Practice addresses (Care Compare)
1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300
Hospital & facility affiliations
- Swedish Issaquah
- Swedish Medical Center
- Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54323 | AZ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients |
Locations
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
1801 Lind Ave SW
Bldg D
Renton, WA 98057
Phone (425) 227-3700
1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1013061217
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1437202249
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487944666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043599",
"telephone_number": "206-505-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043599",
"telephone_number": "206-505-1300"
}
],
"practiceLocations": [
{
"address_1": "3601 S 6th Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857231442",
"country_code": "US",
"telephone_number": "520-792-1450 x4222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 S Carr Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555802",
"country_code": "US",
"telephone_number": "425-227-3700",
"fax_number": "425-227-3116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOLING",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-09",
"last_updated": "2022-07-21",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "54323",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD60919002",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrooling1073043@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "601 S Carr Rd Ste 100",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980555802",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrooling1073043@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1101 Madison St Ste 301",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981043599",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.