Individual provider Active NPI

David Antonio Becerril, MD

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1902806771
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00021300 Issued in WA
Practice address
1224 E Trent Ave
Spokane, WA 99202-2175
Phone
(509) 535-8510
Fax
(509) 535-1635
NPI assigned
Jul 22, 2005
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00021300 WA Primary
Family Medicine Physician 207Q00000X M-15965 ID

Addresses

Primary practice location

1224 E Trent Ave
Spokane, WA 99202-2175

Mailing address

PO Box 2112
Coeur D Alene, ID 83816-2112
Phone (509) 535-8510

Other identifiers 1

IdentifierTypeStateIssuer
1075258MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000250 WA Practitioner - Family Practice 3971490913 Reassigns benefits to 3 organizations
I20220517000676 ID Practitioner - Family Practice 3971490913 Practice locations: Couer D Alene, ID

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021300WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Neighborhood Health Services Current Accepting new patients
Sunnyside Community Hospital Association CurrentSince Sep 1, 2017 Accepting new patients
Yakima Neighborhood Health Services CurrentSince Aug 28, 2019 Accepting new patients
600 Stewart Medical Group, P.C. CurrentSince Dec 6, 2021 Accepting new patients
Sunnyside Community Hospital Association Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Yakima Neighborhood Health Services CurrentSince Aug 28, 2019 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

201 Valley Mall Pkwy
Ste 3
East Wenatchee, WA 98802
Phone (206) 690-5962

208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

2706 W Nob Hill Blvd
Ste 100
Yakima, WA 98902
Phone (206) 848-7500

2501 Business Ln
Yakima, WA 98901
Phone (509) 575-4800

12 S 8th St
Yakima, WA 98901

Interoperability endpoints

  • Direct secure messaging: dbecerril663415@direct.multicare.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1902806771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2112",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162112",
            "telephone_number": "509-535-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E TRENT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022175",
            "telephone_number": "509-535-8510",
            "fax_number": "509-535-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRIL",
        "first_name": "DAVID",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00021300",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-15965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1075258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.