Individual provider Active NPI

Brian A Iuliano, MD

  • Neurological Surgery Physician
  • Olympia, WA
National Provider Identifier
1548201346
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD60030878 Issued in WA
Practice address
3909 9TH Ave SW
Olympia, WA 98502-5134
Phone
(360) 570-3460
Fax
(360) 339-7266
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0059026 MD
Neurological Surgery Physician 207T00000X MD60030878 WA Primary

Addresses

Primary practice location

3909 9TH Ave SW
Olympia, WA 98502-5134

Mailing address

PO Box 368
Olympia, WA 98507-0368

Other identifiers 1

IdentifierTypeStateIssuer
1092065MedicaidWA

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
I20081003000086 WA Practitioner - Neurosurgery 9830280015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Mayo Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3909 9TH Ave SW
Olympia, WA 98502-5134
Phone (360) 570-3460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion70
Laminectomy or laminotomy (partial removal of spine bones)49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059026MDMDNeurological Surgery Physician
MD60030878WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Sep 1, 2023 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Central Maryland Neurosurgical Associates, LLC Neurological Surgery Past Accepting new patients

Locations

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

615 Lilly Rd NE
Ste 220
Olympia, WA 98506
Phone (360) 486-6150

3909 9th Ave SW
Olympia, WA 98502
Phone (360) 570-3460

615 Lilly Rd NE
Ste 175
Olympia, WA 98506
Phone (360) 486-6150

Interoperability endpoints

  • Direct secure messaging: brian.iuliano.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1548201346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 9TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025134",
            "telephone_number": "360-570-3460",
            "fax_number": "360-339-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IULIANO",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0059026",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60030878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.