Individual provider Active NPI

Brian D Johnston

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1699865584
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00030018 Issued in WA
Practice address
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone
(206) 987-2000
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00030018 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE
Seattle, WA 98105-3901

Mailing address

4500 Sand Point Way NE
#100
Seattle, WA 98105-3900

Other identifiers 2

IdentifierTypeStateIssuer
8763OtherINTERNAL ID-MOTOR VEHICLE ID
8210916MedicaidWA

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
I20100528000325 WA Practitioner - Pediatric Medicine 2163551284 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00030018WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jul 1, 2015 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Apr 1, 2010 Accepting new patients
Neighborcare Health Current Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Apr 1, 2010 Accepting new patients
Neighborcare Health CurrentSince Jul 1, 2015 Accepting new patients
Harborview Medical Center CurrentSince Jun 7, 2010 Accepting new patients
Harborview Medical Center CurrentSince Jun 7, 2010 Accepting new patients

Locations

325 9th Ave
Fl 1
Seattle, WA 98104
Phone (206) 744-9609

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

4500 Sand Point Way NE
Ste 100
Seattle, WA 98105
Phone (206) 987-8450

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

Interoperability endpoints

  • Direct secure messaging: bjohnston6767@direct.seattlechildrens.org
  • Direct secure messaging: bjohnston96101@direct.ehre.uwmedicine.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1699865584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE",
            "address_2": "#100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BRIAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00030018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "8763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8210916",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.