Active NPI
Brent Allan Tinnel, M.D.
- Radiation Oncology Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD60194923
- Practice address
- 3920 Capital Mall Dr SW Ste 100B
Olympia, WA 98502-8186 - Phone
- (360) 706-6370
- Fax
- (360) 706-6464
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0101239741 | VA | |
| Radiation Oncology Physician | 2085R0001X | MD60194923 | WA | Primary |
Addresses
Primary practice location
3920 Capital Mall Dr SW Ste 100B
Olympia, WA 98502-8186
Mailing address
4230 Bridgeport Way W Ste B
University Place, WA 98466-4335
Phone (253) 627-6325
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tacomaradiation@directaddress.net | Tacoma Radiation Oncology Center Inc, PS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4525 3Rd Ave SE
Suite 100
Lacey, WA 98503-1010
Phone (360) 412-8960
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239741 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Radiantcare Physicians, PLLC | Radiation Oncology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Tacoma Radiation Oncology Center Inc, PS | Radiation Oncology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Peninsula Rad Onc Ctr LLC | Radiation Oncology | Current | Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients | |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
1200 Basich Blvd
Aberdeen, WA 98520
Phone (360) 537-8801
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
2015 Cooks Hill Rd
#100
Centralia, WA 98531
Phone (360) 736-8960
2015 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8939
11511 Canterwood Blvd
Ste 50
Gig Harbor, WA 98332
Phone (253) 530-2939
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
4525 3rd Ave SE
#100
Olympia, WA 98503
Phone (360) 412-8960
3920 Capital Mall Dr SW
Ste 100B
Olympia, WA 98502
Phone (360) 596-4872
1708 Yakima Ave
Ste 115
Tacoma, WA 98405
Phone (253) 363-8780
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
4230 Bridgeport Way W
Ste B
University Place, WA 98466
Phone (253) 272-1077
Interoperability endpoints
- btinnel443094@direct.multicare.org
- tacomaradiation@directaddress.net
Organizations & group practices 10
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.
-
- Radiation Oncology Physician
- Lacey, WA
- NPI 1851378160
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
dba Tacoma Valley Radiation Oncology Centers
- Radiation Oncology Physician
- Tacoma, WA
- NPI 1255449146
-
dba Covington MultiCare Clinic
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
dba Providence Centralia Hospital
- Radiation Oncology Clinic/Center
- Aberdeen, WA
- NPI 1457721250
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summit Pacific Medical Center
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
dba MultiCare Capital Medical Center
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
dba Providence St Peter Hospital
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
dba Providence Centralia Hospital
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1750397071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 BRIDGEPORT WAY W STE B",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664335",
"telephone_number": "253-627-6325",
"fax_number": "253-627-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 CAPITAL MALL DR SW STE 100B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028186",
"telephone_number": "360-706-6370",
"fax_number": "360-706-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINNEL",
"first_name": "BRENT",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101239741",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD60194923",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tacomaradiation@directaddress.net",
"affiliation": "Y",
"affiliationName": "Tacoma Radiation Oncology Center Inc, PS",
"address_1": "3920 Capital Mall Dr SW Ste 100B",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985028186",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.
- 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.