Active NPI
Brent David Volper, DPM
- Podiatrist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO61338750
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 24 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Willamette Foot Center Inc | Podiatrist | Current | 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
- 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.
-
dba San Xavier Health Center
- Federal Public Health Clinic/Center
- Tucson, AZ
- NPI 1437157302
TX
-
- Podiatrist
- Keizer, OR
- NPI 1730797762
-
dba Ton San Xavier Health Center Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tucson, AZ
- NPI 1518905793
-
dba Ton Sells Hospital Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sells, AZ
- NPI 1699717785
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.