BRODIE MACKLIN FISH (DC) – Chiropractor, NPI 1568949394

BRODIE MACKLIN FISH (DC) is a healthcare provider. based in Camas, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CN60880230 (WA). The NPI Number for BRODIE MACKLIN FISH (DC) is 1568949394

Main info

Male
Sole Proprietor
Accepts Medicare Assignment
Name
BRODIE MACKLIN FISH (DC)
NPI
1568949394
Phone
Not provided
Address
122 NE DALLAS ST
Enumeration Date
24 July 2018
Last Update Date
24 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608345126
Graduation Year
null (2026 years ago)
PAC ID
3274936851
Group Practice PAC ID
6709900772
Professional Enrollment ID
I20211123000719
Address ID
WA986072030CA327XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

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Provider Addresses for BRODIE MACKLIN FISH (DC)

  • 122, Northeast Dallas Street, Oak Park, Camas, Clark County, Washington, 98607, United States

    CAMAS, WA 986071642

    Phone:

    Type: Mailing

  • Columbia Chiropractic and Massage, 428, Northeast 4th Avenue, Oak Park, Camas, Clark County, Washington, 98607, United States

    CAMAS, WA 986072128

    Phone: (360) 834-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211123000719IChiropracticWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions7521$0
View full utilization report →

Insurance plans in this area (ZIP 98607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709900772View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I COR
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

Where can patients find BRODIE MACKLIN FISH (DC)'s NPI?
You can confirm BRODIE MACKLIN FISH (DC) with NPI 1568949394; it appears in the national provider directory.
Is BRODIE MACKLIN FISH (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BRODIE MACKLIN FISH (DC) treat or focus on?
Patients typically see BRODIE MACKLIN FISH (DC) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRODIE MACKLIN FISH (DC)?
The page summarizes Camas, Washington for BRODIE MACKLIN FISH (DC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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