Brent R. Wendel, DPM, Inc, P.S.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO00000621 Issued in WA

Legal business name

BRENT R. WENDEL, DPM, INC, P.S.

Practice address

600 Broadway
Suite 220
Seattle, WA 98122-5373

Phone

(206) 860-4300

Fax

(206) 860-0907

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brent Robert Wendel, DPM

Title

President

Phone

(206) 860-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Puget Sound Foot & Ankle Center Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1675/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1942394853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225373",
            "telephone_number": "206-860-4300",
            "fax_number": "206-860-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225373",
            "telephone_number": "206-860-4300",
            "fax_number": "206-860-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R. WENDEL, DPM, INC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-860-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "101063",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Douglas Brenner, D.D.S.
• Carolyn A. Brenner, OTR/L
• Carolyn J Brenner, MD
• Laurie Anne Brenner, RN
• Brittany Lynn Brenon
• Natalie Brentnall, COTA/L
• Teresa A Brentnall
• Crystal Marie Brescia
• Dominic Joseph Bresee
• Laura Breshock

• Foot & Ankle Surgery Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.