Individual provider Active NPI

Brandon Edward Perkes, DC

  • Chiropractor
  • Bonney Lake, WA
National Provider Identifier
1740507805
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60193083 Issued in WA
Practice address
19102 State Route 410 E
Ste a
Bonney Lake, WA 98391-8449
Phone
(253) 863-6378
Fax
(253) 863-6429
NPI assigned
Apr 29, 2010
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60193083 WA Primary
Chiropractor 111N00000X 7617181-1202 UT

Addresses

Primary practice location

19102 State Route 410 E
Ste a
Bonney Lake, WA 98391-8449

Mailing address

1401 NW 46TH Street
5TH Floor
Seattle, WA 98107
Phone (206) 297-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000194 WA Practitioner - Chiropractic 2567641772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Wellness Center PSGroup PAC ID 0547367690, 2 clinicians
Avise Chiropractic P L L CGroup PAC ID 5698207439, 3 clinicians

Practice addresses (Care Compare)

1409 S 348TH St
Suite D103
Federal Way, WA 98003-8372
Phone (253) 839-8608

4017 A St SE
Suite B101
Auburn, WA 98002-8607
Phone (253) 939-8144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7617181-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 27, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 27, 2020 Accepting new patients
Natural Wellness Center, PS Chiropractor CurrentSince Dec 17, 2023 Accepting new patients
Avise Chiropractic P L L C Chiropractor CurrentSince Oct 11, 2025 Accepting new patients
Blackburn Clinic, Inc. PS Past Accepting new patients
Mountain View Chirorpactic PLLC Chiropractor Past Accepting new patients

Locations

4017 A St SE
Ste B101
Auburn, WA 98002
Phone (253) 939-8144

1409 S 348th St
Ste D103
Federal Way, WA 98003
Phone (253) 839-8608

30821 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 839-8608

1401 NW 46th St
Fl 5
Seattle, WA 98107
Phone (206) 297-5360

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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, 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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1740507805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NW 46TH STREET",
            "address_2": "5TH FLOOR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-297-5360",
            "fax_number": "206-297-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19102 STATE ROUTE 410 E",
            "address_2": "STE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918449",
            "telephone_number": "253-863-6378",
            "fax_number": "253-863-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKES",
        "first_name": "BRANDON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60193083",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7617181-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.