Active NPI
Brian Dial
- Orthopaedic Surgery of the Spine Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 61150713
- Practice address
- 12039 NE 128TH St Ste 500
Kirkland, WA 98034-3029 - Phone
- (425) 899-4930
- Fax
- (425) 899-4811
- NPI assigned
- Mar 31, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 2020010618 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 61150713 | WA | Primary |
Addresses
Primary practice location
12039 NE 128TH St Ste 500
Kirkland, WA 98034-3029
Mailing address
12039 NE 128TH St Ste 500
Kirkland, WA 98034-3029
Phone (254) 899-4930
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210602002916 | WA | Practitioner - Orthopedic Surgery | 9537584859 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072
12039 NE 128TH St
Suite 500
Kirkland, WA 98034-3029
Phone (425) 899-2365
Hospital & facility affiliations
- Evergreenhealth Home Care Services
- Evergreenhealth Medical Center
- Evergreenhealth Monroe
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 156 |
| Laminectomy or laminotomy (partial removal of spine bones) | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61150713 | WA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Past | Accepting new patients |
Locations
1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
14841 179th Ave SE
Ste 330
Monroe, WA 98272
Phone (360) 794-3300
Organizations & group practices 7
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
WA
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
Hospital
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- General Acute Care Hospital
- Monroe, WA
- NPI 1013074061
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1962897504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST STE 500",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343029",
"telephone_number": "254-899-4930",
"fax_number": "425-899-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST STE 500",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343029",
"telephone_number": "425-899-4930",
"fax_number": "425-899-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAL",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MO",
"license": "2020010618",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WA",
"license": "61150713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.