Individual provider Active NPI

Brent Allan Tinnel, M.D.

  • Radiation Oncology Physician
  • Olympia, WA
National Provider Identifier
1750397071
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD60194923 Issued in WA
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

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000139 WA Practitioner - Radiation Oncology 4880865443 Reassigns benefits to 5 organizations

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
Radiantcare Physicians PLLCGroup PAC ID 6608869581, 5 clinicians

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

LicenseStateTypeSpecialty
0101239741VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics LLC CurrentSince Sep 30, 2011 Accepting new patients
Multicare Health System CurrentSince Nov 11, 2019 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
Radiantcare Physicians, PLLC Radiation Oncology CurrentSince Oct 7, 2024 Accepting new patients
Multicare Health System CurrentSince Nov 11, 2019 Accepting new patients
Tacoma Radiation Oncology Center Inc, PS Radiation Oncology CurrentSince Oct 2, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Peninsula Rad Onc Ctr LLC Radiation Oncology CurrentSince Jul 4, 2020 Accepting new patients
Providence Health & Services Washington PastSince Oct 7, 2024 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

  • Direct secure messaging: btinnel443094@direct.multicare.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.