Individual provider Active NPI

Brian N Gipstein, M.D.

  • Child & Adolescent Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1982922233
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD00013661 Issued in WA
Practice address
4407 S Madelia St
Spokane, WA 99223-6429
Phone
(509) 448-2692
Fax
(509) 448-2692
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD00013661 WA Primary

Addresses

Primary practice location

4407 S Madelia St
Spokane, WA 99223-6429

Mailing address

4407 S Madelia St
Spokane, WA 99223-6429
Phone (509) 448-2692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00013661WAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1982922233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 S MADELIA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236429",
            "telephone_number": "509-448-2692",
            "fax_number": "509-448-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 S MADELIA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236429",
            "telephone_number": "509-448-2692",
            "fax_number": "509-448-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSTEIN",
        "first_name": "BRIAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00013661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.