Individual provider Active NPI

Brent A Richardson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bellingham, WA
National Provider Identifier
1689780751
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD00045352 Issued in WA
Practice address
4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Phone
(360) 752-0518
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD00045352 WA Primary

Addresses

Primary practice location

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077

Mailing address

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077

Other identifiers 2

IdentifierTypeStateIssuer
1689780751MedicaidWA
298714OtherWALNI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061103000190 WA Practitioner - AnesthesiologyPractitioner - Pain Management 1759388770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Missouri, Columbia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

4029 Northwest Ave
Suite 301
Bellingham, WA 98226-9077
Phone (360) 752-0518

Hospital & facility affiliations

  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Merit-based Incentive Payment System (MIPS)

Final score
71.86 of 100Reported as group
Quality
61.97
Promoting interoperability
67
Improvement activities
40
Cost
71.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00045352WAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance Pain Medicine Current Accepting new patients
Sound Pain Alliance CurrentSince Jun 1, 2018 Accepting new patients
Sound Pain Alliance Pain Medicine CurrentSince Dec 11, 2017 Accepting new patients
Sound Pain Alliance CurrentSince Aug 29, 2012 Accepting new patients
Northwest Radiologists Inc PS PastSince Oct 6, 2024 Accepting new patients
Mt Baker Pain Clinic, P.S. Past Accepting new patients
North Cascade Pain Management PS Pain Medicine Past Accepting new patients
Mt Baker Pain Clinic, P.S. Past Accepting new patients

Locations

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

7200 S 180th St
Ste 102
Tukwila, WA 98188

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1689780751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00045352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689780751",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "298714",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.