Active NPI
Marvin M Brooke, MD
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
National Provider Identifier
1750336913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 15202
- Practice address
- 1600 E Jefferson St
Ste A4
Seattle, WA 98122-5698 - Phone
- (206) 302-7747
- Fax
- (206) 302-7748
- NPI assigned
- May 24, 2006
- Last updated
- Sep 23, 2010
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 15202 | WA | Primary |
Addresses
Primary practice location
1600 E Jefferson St
Ste A4
Seattle, WA 98122-5698
Mailing address
8441 SE 68TH St
PMB 198
Mercer Island, WA 98040-5235
Phone (253) 841-3168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15202 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Site Dermatology of Washington PLLC | Past | Accepting new patients | |
| Marvin M. Brooke MD | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Marvin M Brooke MD | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| John H. Addison MD PS | Past | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients | |
| Northwest Hospital | Past | Accepting new patients | |
| Northwest Hospital & Medical Center | Past | Accepting new patients | |
| Puget Sound Rehabilitation Medicine | Physical Medicine & Rehabilitation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
- NPI 1346550266
-
- Physical Medicine & Rehabilitation Physician
- Tacoma, WA
- NPI 1225348436
-
dba Northwest Geriatrics
- Geriatric Medicine (Internal Medicine) Physician
- Mercer Island, WA
- NPI 1497706774
-
- Clinic/Center
- Seattle, WA
- NPI 1720023823
-
dba Meridian Women's Health
- Obstetrics & Gynecology Physician
- Seattle, WA
- NPI 1730355199
-
- Dermatology Physician
- Seattle, WA
- NPI 1083135693
-
dba David R Clawson, MD
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
- NPI 1790785236
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1750336913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8441 SE 68TH ST",
"address_2": "PMB 198",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980405235",
"telephone_number": "253-841-3168",
"fax_number": "253-841-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E JEFFERSON ST",
"address_2": "STE A4",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225698",
"telephone_number": "206-302-7747",
"fax_number": "206-302-7748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKE",
"first_name": "MARVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "15202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.