Active NPI
Devin Allen Brossard, D.C.
- Chiropractor
- Arlington, WA
National Provider Identifier
1598030892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60262639
- Practice address
- 3710 168TH St NE
Ste B102
Arlington, WA 98223-8463 - Phone
- (360) 722-1578
- NPI assigned
- Mar 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60262639 | WA | Primary |
Addresses
Primary practice location
3710 168TH St NE
Ste B102
Arlington, WA 98223-8463
Mailing address
3710 168TH St NE
Ste B102
Arlington, WA 98223-8463
Phone (360) 722-1578
Other names 1
- Dr. Devin Allen Brossard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60262639 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1598030892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 168TH ST NE",
"address_2": "STE B102",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238463",
"telephone_number": "360-722-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 168TH ST NE",
"address_2": "STE B102",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238463",
"telephone_number": "360-722-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSSARD",
"first_name": "DEVIN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60262639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEVIN",
"last_name": "BROSSARD",
"middle_name": "ALLEN",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.