Active NPI
Brandon Wallace Godfrey, M.D.
- Sports Medicine (Emergency Medicine) Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 61518892
- Practice address
- 2811 Tieton Dr
Yakima, WA 98902-3761 - Phone
- (509) 575-8000
- NPI assigned
- Mar 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 61518892 | WA | |
| Emergency Medicine Physician | 207P00000X | 23560 | NV | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 61518892 | WA | Primary |
| Emergency Medicine Physician | 207P00000X | 51008 | AZ |
Addresses
Primary practice location
2811 Tieton Dr
Yakima, WA 98902-3761
Mailing address
111 S 11TH Ave Ste 320
Yakima, WA 98902-3273
Phone (509) 454-8888
Other practice location 1
111 S 11th Ave Ste 320
Yakima, WA 98902-3273
Phone (509) 454-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Nevada School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51008 | AZ | MD | Emergency Medicine Physician |
| 23560 | NV | MD | Emergency Medicine Physician |
| 61518892 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Nevada Bessler PLLC | Emergency Medicine | Current | Accepting new patients |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Benson Hospital Corporation | Current | Accepting new patients | |
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Banner-University Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500
7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Emergency Medicine Physician
- Sparks, NV
- NPI 1881151231
-
- Urology Physician
- Ellensburg, WA
- NPI 1437029832
-
- Specialist
- Ellensburg, WA
- NPI 1790910057
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- Rural Health Clinic/Center
- Vail, AZ
- NPI 1457924920
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- 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": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775952000000",
"number": "1629495833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH AVE STE 320",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023273",
"telephone_number": "509-454-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023761",
"telephone_number": "509-575-8000"
}
],
"practiceLocations": [
{
"address_1": "111 S 11th Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023273",
"country_code": "US",
"telephone_number": "509-454-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODFREY",
"first_name": "BRANDON",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-25",
"last_updated": "2026-04-12",
"certification_date": "2026-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "61518892",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "23560",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "WA",
"license": "61518892",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "51008",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.