Active NPI
Brandith G Irwin, M.D.
- Dermatology Physician
- Seattle, WA
National Provider Identifier
1760486229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00023014
- Practice address
- 600 Broadway Ste 112
Seattle, WA 98122-5381 - Phone
- (206) 939-6633
- Fax
- (206) 939-6633
- NPI assigned
- Jun 10, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00023014 | WA | Primary |
Addresses
Primary practice location
600 Broadway Ste 112
Seattle, WA 98122-5381
Mailing address
1101 Madison St
Ste 1490
Seattle, WA 98104-3598
Phone (206) 215-6600
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040323000230 | WA | Practitioner - Dermatology | 4587568696 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandith G Irwin MD PLLC | Dermatology | Current | Accepting new patients |
Locations
1101 Madison St
Ste 1490
Seattle, WA 98104
Phone (206) 215-6600
Organizations & group practices 1
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.
-
- Dermatology Physician
- Seattle, WA
- NPI 1699831032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1760486229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "STE 1490",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043598",
"telephone_number": "206-215-6600",
"fax_number": "206-215-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BROADWAY STE 112",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225381",
"telephone_number": "206-939-6633",
"fax_number": "206-939-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "BRANDITH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-10",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00023014",
"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 Mar 28, 2024; 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.