Individual provider Active NPI

Jennifer R. Brindle, MD

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1598718033
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00032979 Issued in WA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0198575OtherWALABOR & INDUSTRIES
8186181MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050512000377 WA Practitioner - Family Practice 8729028410 Reassigns benefits to 2 organizations
I20211210000215 TX Practitioner - Family Practice 8729028410 Reassigns benefits to 1 organization

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
Yakama Indian Health CenterGroup PAC ID 0749206985, 11 clinicians

Practice addresses (Care Compare)

401 Buster Rd
Toppenish, WA 98948-9792
Phone (509) 865-1705

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00032979WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Yakama Indian Health Center CurrentSince Oct 31, 2021 Accepting new patients
RCCH Trios Health LLC Family Medicine CurrentSince May 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.