Active NPI
Brandon Edward Perkes, DC
- Chiropractor
- Bonney Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60193083
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7617181-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Natural Wellness Center, PS | Chiropractor | Current | Accepting new patients |
| Avise Chiropractic P L L C | Chiropractor | Current | 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.
-
- Chiropractor
- Auburn, WA
- NPI 1740912500
-
- Chiropractor
- Federal Way, WA
- NPI 1679609176
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
dba Mountain View Chiropractic and Wellness Center
- Chiropractor
- Bonney Lake, WA
- NPI 1245436476
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
- Kaitlyn Jeanne Patrick
- Abigayle Marion Patterson, APRN
- Sandra Lee Pearson, REGISTERED NURSE
- Holly Pennington, MPT
- Performance Sports and Spine Physical Therapy PS
- Alexandrea Lee Pettyjohn, LMP
- Mary Ellen Pfeiffer, B.A., L.M.P.
- Crystal Gayle Phillips, COTA/L
- Gordon Arthur Pomerenke
- Emily R Potter, R.PH.
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.