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BRIAN ULLOM
NPI 1508952797
Pediatrics in Wapato, WA

Active since October 05, 2006PECOS Enrolled
620 W 1ST ST, WAPATO, WA 98951(509) 877-4111(509) 877-7349 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Jan 22, 2020 (2 updates tracked since 2020).

About Brian Ullom NPPES

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

BRIAN ULLOM (NPI 1508952797) is an individual pediatrics provider in Wapato, Washington, licensed in Washington (MD00032635) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508952797
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRIAN ULLOM
Location Address620 W 1ST STWapato, WA 98951-1108
Mailing Address620 W 1st StWapato, WA 98951-1108 · (509) 877-4111 · Fax (509) 877-7349
Phone(509) 877-4111
Fax(509) 877-7349
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1508952797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00032635
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
620 W 1ST ST, Wapato, WA 98951
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Other Identifiers 5

Other8180184WA · Chpw
Medicaid8180184WA
Other911019392Commercial
Other6730Group Health
OtherUL4310WA · Regence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Ullom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98951 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 11

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

MONICA AMY SANCHEZ RN, BSN
Registered Nurse (Community Health)
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 270-5403
MICHAEL HOWARD GRAVATT II MD
Family Medicine
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
PAMELA SMITH
Pediatrics
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
GRACEANN A FREEMAN
Nurse Practitioner
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 887-4111
NARGIS MOZAFARI
Psychologist (Clinical)
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
BONNIE OXFORD FNP
Nurse Practitioner
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 480-9345
DR. ROY E GONDO M.D.
Family Medicine
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Ullom's NPI number?

The NPI number for Brian Ullom is 1508952797. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Brian Ullom located?

Brian Ullom practices at 620 W 1st St, Wapato, WA 98951. The listed phone number is (509) 877-4111.

What is Brian Ullom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brian Ullom enrolled in Medicare?

Yes. Brian Ullom is registered in the Medicare PECOS enrollment system.

What insurance does Brian Ullom accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brian Ullom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Ullom was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.