Bryan Charles McIntosh, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

60123704 Issued in WA

Practice address

12301 NE 10TH PL
Suite 101
Bellevue, WA 98005-2487

Phone

(425) 420-2663

Fax

(425) 409-6262

NPI assigned

May 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

73 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marina Park Plastics, PLLC

  • Medical Specialty Clinic/Center
  • Kirkland, WA
  • NPI 1225641152
  NPD (past)
• Marina Park Plastics, PLLC

  • Ambulatory Surgical Clinic/Center
  • Kirkland, WA
  • NPI 1619756350
  NPD (past)

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494115200000",
    "number": "1982862165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980830723",
            "telephone_number": "425-420-2663",
            "fax_number": "425-409-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL",
            "address_2": "SUITE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-420-2663",
            "fax_number": "425-409-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "BRYAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-24",
        "last_updated": "2017-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "60123704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Myles McGough
• Thomas Gentry McGrath, D.C, D.A.C.N.B
• Robin McGuire
• Carolyn G McHugh, MD
• Carson McInnis, DPT
• Corinne McIntyre, MSW
• Hayden Loughlin McIntyre, MSW, LICSW, CDPT
• Mikella Teresa McIntyre, BA, RC
• Rachel Elizabeth McIntyre, OTR/L
• Sue McKain, OT

• Plastic Surgery Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; 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.

Verify at the official NPI Registry.