Individual provider Active NPI

Marvin M Brooke, MD

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
National Provider Identifier
1750336913
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15202 Issued in WA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15202WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology of Washington PLLC Past Accepting new patients
Marvin M. Brooke MD Physical Medicine & Rehabilitation PastSince Apr 7, 2015 Accepting new patients
Marvin M Brooke MD Physical Medicine & Rehabilitation PastSince Apr 7, 2015 Accepting new patients
John H. Addison MD PS PastSince Mar 1, 2015 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.

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

Verify at the official NPI Registry.