Active NPI
Jennifer R. Brindle, MD
- Family Medicine Physician
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00032979
- Practice address
- 320 W 10TH Ave Ste 102
Kennewick, WA 99336-6302 - Phone
- (509) 221-5910
- Fax
- (509) 221-5912
- NPI assigned
- May 18, 2006
- Last updated
- May 7, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00032979 | WA | Primary |
Addresses
Primary practice location
320 W 10TH Ave Ste 102
Kennewick, WA 99336-6302
Mailing address
320 W 10TH Ave Ste 102
Kennewick, WA 99336-6302
Phone (509) 221-5910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0198575 | Other | WA | LABOR & INDUSTRIES |
| 8186181 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Buster Rd
Toppenish, WA 98948-9792
Phone (509) 865-1705
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032979 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Yakama Indian Health Center | Current | Accepting new patients | |
| RCCH Trios Health LLC | Family Medicine | Current | Accepting new patients |
Locations
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
320 W 10th Ave
Ste 102
Kennewick, WA 99336
Phone (509) 221-5910
320 W 10th Ave
Ste 202
Kennewick, WA 99336
Phone (509) 221-5520
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222
401 Buster Rd
Toppenish, WA 98948
Phone (509) 865-1705
Interoperability endpoints
- jbrindle1144657@wm.providencedirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prosser Memorial Health
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Astria Toppenish Hospital
- General Acute Care Hospital
- Toppenish, WA
- NPI 1851817308
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1598718033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W 10TH AVE STE 102",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366302",
"telephone_number": "509-221-5910",
"fax_number": "509-221-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 10TH AVE STE 102",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366302",
"telephone_number": "509-221-5910",
"fax_number": "509-221-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINDLE",
"first_name": "JENNIFER",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00032979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0198575",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8186181",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.