Individual provider Active NPI

Charles E Brondos, M.D.

  • Neurology Physician
  • Spokane, WA
National Provider Identifier
1770529786
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13652 Issued in WA
Practice address
715 S Cowley St
Suite 224
Spokane, WA 99202-1375
Phone
(509) 624-9154
Fax
(509) 838-0102
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13652 WA Primary

Addresses

Primary practice location

715 S Cowley St
Suite 224
Spokane, WA 99202-1375

Mailing address

715 S Cowley St
Suite 224
Spokane, WA 99202-1375
Phone (509) 624-9154

Other identifiers 5

IdentifierTypeStateIssuer
1045905MedicaidWA
31507OtherWALABOR AND INDUSTRIES
35-9723MedicaidMT
KA634OtherIDBLUE CROSS OF IDAHO
E01073OtherASURIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13652WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Spokane Neurology PastSince Jun 10, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770529786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S COWLEY ST",
            "address_2": "SUITE 224",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021375",
            "telephone_number": "509-624-9154",
            "fax_number": "509-838-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S COWLEY ST",
            "address_2": "SUITE 224",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021375",
            "telephone_number": "509-624-9154",
            "fax_number": "509-838-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONDOS",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "13652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045905",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "31507",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35-9723",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "KA634",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS",
            "identifier": "E01073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.