Active NPI
Brian Gutshall, DO
- Internal Medicine Physician
- Aberdeen, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 60645156
- Practice address
- 915 Anderson Dr
Aberdeen, WA 98520-1006 - Phone
- (360) 532-8330
- NPI assigned
- Jun 18, 2013
- Last updated
- Aug 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60645156 | WA | Primary |
Addresses
Primary practice location
915 Anderson Dr
Aberdeen, WA 98520-1006
Mailing address
970 Satsop Rd W
Montesano, WA 98563-9326
Other practice location 1
819 S 13th St
Mount Vernon, WA 98274-4112
Phone (360) 848-5527
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60645156 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Single Specialty | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Multicare Health System | Single Specialty | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Capital Medical Center Specialty Physicians, LLC | Single Specialty | Current | Accepting new patients |
Locations
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
Single Specialty
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
Single Specialty
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
Single Specialty
-
dba Grays Harbor Radiology
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1144676487
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Immediate Clinic
- Family Medicine Physician
- Tacoma, WA
- NPI 1750833844
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Providence St Peter Hospital
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1972942456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 SATSOP RD W",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985639326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 ANDERSON DR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985201006",
"telephone_number": "360-532-8330"
}
],
"practiceLocations": [
{
"address_1": "819 S 13th St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744112",
"country_code": "US",
"telephone_number": "360-848-5527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTSHALL",
"first_name": "BRIAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WA",
"license": "60645156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.