Active NPI
Jeremy J Brett, PA
- Physician Assistant
- Spokane, WA
National Provider Identifier
1992391627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61313035
- Practice address
- 757 E Holland Ave
Spokane, WA 99218-1257 - Phone
- (509) 444-6367
- Fax
- (509) 444-6371
- NPI assigned
- Dec 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2431 | NV | |
| Physician Assistant | 363A00000X | PA61313035 | WA | Primary |
Addresses
Primary practice location
757 E Holland Ave
Spokane, WA 99218-1257
Mailing address
757 E Holland Ave
Spokane, WA 99218-1257
Phone (509) 444-6367
Other practice location 1
6460 Medical Center St Unit 200350
Las Vegas, NV 89148-2406
Phone (702) 255-6647
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
757 E Holland
Spokane, WA 99218-1257
757 E Holland Ave
Spokane, WA 99218-1257
Phone (509) 444-6367
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- jeremyb@sdlc.emadirect.md
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1992391627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 E HOLLAND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181257",
"telephone_number": "509-444-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 E HOLLAND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181257",
"telephone_number": "509-444-6367",
"fax_number": "509-444-6371"
}
],
"practiceLocations": [
{
"address_1": "6460 Medical Center St Unit 200350",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891482406",
"country_code": "US",
"telephone_number": "702-255-6647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRETT",
"first_name": "JEREMY",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-16",
"last_updated": "2025-04-24",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2431",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61313035",
"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 Apr 24, 2025; 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.