Active NPI
Brian Michael Tanksley
- Emergency Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD61501970
- Practice address
- 747 Broadway
Seattle, WA 98122-4379 - Phone
- (206) 386-2573
- NPI assigned
- Apr 12, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | MD61501970 | WA | Primary |
Addresses
Primary practice location
747 Broadway
Seattle, WA 98122-4379
Mailing address
16410 84TH St NE Ste D-605
Lake Stevens, WA 98258-9060
Phone (360) 658-2488
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
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
747 Broadway
Seattle, WA 98122-4379
Phone (360) 658-2488
751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.95 of 100
- Quality
- 84.94
- Improvement activities
- 40
- Cost
- 78.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Eastside Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Seattle Emergency Physicians Services Inc PS | Emergency Medicine | Current | Accepting new patients |
Locations
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
16410 84th St NE
Ste D605
Lake Stevens, WA 98258
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Emergency Medicine Physician
- Seattle, WA
- NPI 1376642298
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1790365823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 84TH ST NE STE D-605",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982589060",
"telephone_number": "360-658-2488",
"fax_number": "877-501-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224379",
"telephone_number": "206-386-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKSLEY",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD61501970",
"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 Jun 11, 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.
- 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.