Individual provider Active NPI

Brent David Volper, DPM

  • Podiatrist
  • Vancouver, WA
National Provider Identifier
1639664386
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO61338750 Issued in WA
Practice address
16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462
Phone
(360) 834-3707
Fax
(360) 834-3569
NPI assigned
Jun 26, 2018
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO61338750 WA Primary

Addresses

Primary practice location

16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462

Mailing address

16701 SE McGillivray Blvd Ste 220
Vancouver, WA 98683-3462
Phone (360) 834-3707

Other practice location 1

6108 NE Highway 99 Ste 107
Vancouver, WA 98665-8751
Phone (360) 834-3707

Other practice location 2

1710 W Main St Ste 221
Battle Ground, WA 98604-4317
Phone (360) 834-3707

Other practice location 3

9370 SW Greenburg Rd Ste 102
Portland, OR 97223-5428
Phone (360) 834-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240917002309 OR Practitioner - Podiatry 8628317245 Reassigns benefits to 1 organization
I20251110003737 TX Practitioner - Podiatry 8628317245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ton San Xavier Health CenterGroup PAC ID 6608819339, 23 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians

Practice addresses (Care Compare)

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 547-8142

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Dec 7, 2025 Accepting new patients
Ton Sells Hospital CurrentSince Oct 1, 2025 Accepting new patients
Willamette Foot Center Inc Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

4305 River Rd N
Keizer, OR 97303
Phone (503) 363-0763

Interoperability endpoints

  • Direct secure messaging: bvolper146264@direct.phhs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1639664386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833462",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD STE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833462",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6108 NE Highway 99 Ste 107",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658751",
            "country_code": "US",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 W Main St Ste 221",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986044317",
            "country_code": "US",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9370 SW Greenburg Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972235428",
            "country_code": "US",
            "telephone_number": "360-834-3707",
            "fax_number": "360-834-3569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLPER",
        "first_name": "BRENT",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO61338750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.