Active NPI
James W Brown, RVT
- Vascular Sonography Radiologic Technologist
- Bothell, WA
National Provider Identifier
1619316189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 95621
- Practice address
- 11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8250 - Phone
- (425) 486-8868
- Fax
- (425) 486-8976
- NPI assigned
- Jun 18, 2013
- Last updated
- Jun 18, 2013
- 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 |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | 95621 | WA | Primary |
Addresses
Primary practice location
11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8250
Mailing address
1306 50TH St NE
Auburn, WA 98002-1215
Phone (425) 463-5477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95621 | Other | WA | ARDMS# |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95621 | WA | MD | Vascular Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1619316189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 50TH ST NE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980021215",
"telephone_number": "425-463-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11714 N CREEK PKWY N STE 100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980118250",
"telephone_number": "425-486-8868",
"fax_number": "425-486-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RVT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "WA",
"license": "95621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARDMS#",
"identifier": "95621",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.