BRENDAN HAUGHIE JACKSON-FOWL DO
NPI 1477297109
Family Medicine in Seattle, WA

Q: What is Brendan Jackson-fowl's NPI number?

The NPI number for Brendan Jackson-fowl is 1477297109. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Brendan Jackson-fowl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 27, 2022PECOS EnrolledAccepts Medicare Assignment

1401 MADISON ST STE 100, SEATTLE, WA 98104(206) 386-6111(206) 386-6113 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brendan Haughie Jackson-fowl Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN HAUGHIE JACKSON-FOWL DO (NPI 1477297109) is an individual family medicine provider in Seattle, Washington, licensed in Washington (OP61295493) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).

NPPES Registry Identity

NPI1477297109

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRENDAN HAUGHIE JACKSON-FOWLCredential: DO

Location Address1401 MADISON ST STE 100Seattle, WA 98104-1316

Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 386-6111 · Fax (206) 386-6113

Phone(206) 386-6111

Fax(206) 386-6113

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2022

Enumeration DateApril 27, 2022

Last NPPES UpdateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1477297109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP61295493

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1401 MADISON ST STE 100, Seattle, WA 98104

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Other Identifiers 1

Medicaid2208498WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brendan Haughie Jackson-fowl Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385023837

PECOS Enrollment IDI20250714003392

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500088

Location400 S 43rd StRenton, WA 98055 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELINA WEN GAN MD

Student in an Organized Health Care Education/Training Program