Brent Maxwell Wilkinson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.OP.61315661 Issued in WA

Practice address

2201 South Ave
South Lake Tahoe, CA 96150-7025

Phone

(530) 543-5623

Fax

(530) 541-5738

NPI assigned

May 29, 2020

Last updated

Sep 10, 2026By the provider in NPPES

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

Other identifiers 1

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

Specialty

Family Practice

Education

Rocky Vista University College of Osteopathic Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
• Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
• Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwilkinson606304@direct.ochin.org

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.

• SHC Medical Center Toppenish

  dba Astria Toppenish Hospital

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308
  Medicare reassignment Care Compare group NPD
• Community Health of Central Washington

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1598764920

  Family Medicine

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WA

  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637

  Family Medicine

  Medicare reassignment NPD (past)
• Community Health of Central Washington

  dba Highland Clinic

  • Federally Qualified Health Center (FQHC)
  • Tieton, WA
  • NPI 1700255874
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184

  Family Medicine

  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD

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

• Mountainview Home Health, LLC

  • Home Health Agency
  • Yakima, WA
  • NPI 1578583399
  Care Compare affiliation
• SHC Medical Center Toppenish

  dba Astria Toppenish Hospital

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308
  Care Compare affiliation
• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation
• Yakima Valley Memorial Hospital Association

  dba MultiCare Yakima Memorial Hospital

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1053373480
  Care Compare affiliation

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1891319448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507025",
            "telephone_number": "530-543-5623",
            "fax_number": "530-541-5738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022473",
            "country_code": "US",
            "telephone_number": "509-452-4520",
            "fax_number": "509-452-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Ahtanum Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Union Gap",
            "state": "WA",
            "postal_code": "989031839",
            "country_code": "US",
            "telephone_number": "509-454-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 E Edison Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "98944",
            "country_code": "US",
            "telephone_number": "509-712-3295",
            "fax_number": "509-837-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "BRENT",
        "middle_name": "MAXWELL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "DO.OP.61315661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160431",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Welch, D.C.
• Wellness Diagnostics
• Patience Wenck, FNP
• Charles Patrick Wettach, PT
• Lauren White
• Susan E Willey
• William a. Downey O.D. Inc
• Morgan Ceili Williams
• Sally Ann Williams, LCSW -LCS 19708
• Alexis Marie Wilson, B.S.

• Family Medicine Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.

Verify at the official NPI Registry.