Active NPI
Matthew Charles Brouns, M.D.
- Hematology & Oncology Physician
- Vancouver, WA
National Provider Identifier
1508869546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD00037209
- Practice address
- 210 SE 136TH Ave
Vancouver, WA 98684-6930 - Phone
- (360) 944-9889
- Fax
- (360) 944-9686
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD00037209 | WA | Primary |
Addresses
Primary practice location
210 SE 136TH Ave
Vancouver, WA 98684-6930
Mailing address
210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012066 | Medicaid | WA | |
| 139471 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1508869546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SE 136TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846930",
"telephone_number": "360-944-9889",
"fax_number": "360-944-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SE 136TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846930",
"telephone_number": "360-944-9889",
"fax_number": "360-944-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUNS",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00037209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012066",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139471",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.