Individual provider Active NPI

Brandi Lea Irwin, D.O.

  • Pediatrics Physician
  • Mill Creek, WA
National Provider Identifier
1629058748
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OP00002348 Issued in WA
Practice address
805 164TH Street SE
Suite 100
Mill Creek, WA 98012
Phone
(425) 354-4296
Fax
(425) 332-3495
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R-7558 IA
Pediatrics Physician 208000000X OP00002348 WA Primary

Addresses

Primary practice location

805 164TH Street SE
Suite 100
Mill Creek, WA 98012

Mailing address

805 164TH Street SE
Suite 100
Mill Creek, WA 98012

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R-7558IAMDPediatrics Physician
OP00002348WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc., Dba Allegro Pediatrics Pediatrics CurrentSince Nov 27, 2022 Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics PastSince Nov 27, 2022 Accepting new patients

Locations

14711 NE 29th Pl
Ste 255
Bellevue, WA 98007
Phone (425) 460-5634

11724 NE 195th St
Ste 100
Bothell, WA 98011
Phone (425) 318-3100

Interoperability endpoints

  • Direct secure messaging: birwin127478@direct.seattlechildrens.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1629058748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 164TH STREET SE",
            "address_2": "SUITE 100",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 164TH STREET SE",
            "address_2": "SUITE 100",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-354-4296",
            "fax_number": "425-332-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "BRANDI",
        "middle_name": "LEA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "R-7558",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP00002348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.