Brandon Wen, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT61536606 Issued in WA

Practice address

11901 NE Village PLZ Ste 261
Kirkland, WA 98034-5092

Phone

(425) 814-2800

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Sports Physician Chiropractor
  • Seattle, WA
  • NPI 1871801522
  Medicare reassignment NPD
• Functional Health Consulting, LLC

  • Rehabilitation Chiropractor
  • Bellevue, WA
  • NPI 1366991572
  NPD
• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Chiropractor
  • Renton, WA
  • NPI 1598548877
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1760248686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 NE 37TH CT APT 309",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980331706",
            "telephone_number": "615-887-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 NE VILLAGE PLZ STE 261",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345092",
            "telephone_number": "425-814-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEN",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT61536606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Bruce Welch, DDS
• Nancy Lee Welch
• Karen Vanauken Wells, M.D.
• Tyler Wells
• Wendy Rose Anne Wells
• Marco Nee Wen, M.D.
• Amelia Curley Wendt, MD
• Colin Joseph Wendt, MD
• David Samuel Wenger
• West Coast Behaviorial Consultants

• Physical Medicine & Rehabilitation Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.