Individual provider Active NPI

Walter Brundage Thompson, D.C.

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1639201742
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001331 Issued in WA
Practice address
222 W Mission Ave
Suite 132
Spokane, WA 99201-2344
Phone
(509) 328-0775
Fax
(509) 328-0778
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001331 WA Primary

Addresses

Primary practice location

222 W Mission Ave
Suite 132
Spokane, WA 99201-2344

Mailing address

222 W Mission Ave
Suite 132
Spokane, WA 99201-2344
Phone (509) 328-0775

Other identifiers 1

IdentifierTypeStateIssuer
G 000301607OtherWAMEDICARE ID-PIN

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1639201742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE",
            "address_2": "SUITE 132",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012344",
            "telephone_number": "509-328-0775",
            "fax_number": "509-328-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE",
            "address_2": "SUITE 132",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012344",
            "telephone_number": "509-328-0775",
            "fax_number": "509-328-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "WALTER",
        "middle_name": "BRUNDAGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "G 000301607",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.