Individual provider Active NPI

Brandon Thompson, DC

  • Chiropractor
  • Covington, WA
National Provider Identifier
1922880327
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61484118 Issued in WA
Practice address
15610 SE 272ND St Ste a-106
Covington, WA 98042-4416
Phone
(253) 638-2424
NPI assigned
Oct 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61484118 WA Primary

Addresses

Primary practice location

15610 SE 272ND St Ste a-106
Covington, WA 98042-4416

Mailing address

15610 SE 272ND St Ste a-106
Covington, WA 98042-4416
Phone (916) 743-8372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403001297 WA Practitioner - Chiropractic 0345688842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

15 SW Everett Mall Way
Suite G
Everett, WA 98204-2715
Phone (425) 355-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61484118WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC Chiropractor CurrentSince Jan 2, 2026 Accepting new patients
Functional Health Consulting, LLC CurrentSince Jan 2, 2026 Accepting new patients
Kriss Chiropractic PS Chiropractor PastSince Feb 14, 2017 Accepting new patients
Functional Health Consulting, LLC Past Accepting new patients

Locations

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

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.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1922880327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15610 SE 272ND ST STE A-106",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424416",
            "telephone_number": "916-743-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 SE 272ND ST STE A-106",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424416",
            "telephone_number": "253-638-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRANDON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61484118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.