Brenden O'Neill

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1199432 Issued in WA

Practice address

5901 N Lidgerwood St Ste 218
Spokane, WA 99208-1122

Phone

(509) 464-6208

NPI assigned

Oct 4, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Spine and Pain Medicine PLLCGroup PAC ID 5799972212, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northwest Spine and Pain Medicine, PLLC

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1669789228
  Medicare reassignment Care Compare group
• Rare Wellness

  • Integrative Medicine Physician
  • Spokane, WA
  • NPI 1164148748
  NPD (past)
• Selkirk Interventional Pain Physicians PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Spokane, WA
  • NPI 1780965186
  NPD (past)

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1609591551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 S SR 27 HWY APT J302",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066186",
            "telephone_number": "208-590-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST STE 218",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081122",
            "telephone_number": "509-464-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 S Regal St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234704",
            "country_code": "US",
            "telephone_number": "509-464-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "BRENDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "1199432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn O'Neal
• Anthony O'Neel
• Connie E O'Neel, MA
• Nancy A. O'Neil, MD
• Patricia O'Neill-Pritchard
• Chelsey J O'Neill
• Connor O'Neill, DO
• John Charles O'Neill, LICSW
• Sean O'Neill, DPT
• Patricia Cecelia O'Rourke, M.D.

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.

Verify at the official NPI Registry.