MR. BRANDON TRENT BROADY (NPI# 1043361900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043361900 |
| Entity Type | Individual |
| Full Name | MR. BRANDON TRENT BROADY |
| Credential | LMP |
| Practice Address |
3501 Shelby Rd. Suite C Lynnwood WA 98087 |
| Mailing Address |
2620 Center Rd Everett WA 98204-4758 |
| Practice Telephone | 4257459052 |
| Practice Fax Number | 4257453372 |
| Mailing Telephone | 4252906024 |
| Mailing Fax Number | 4252908016 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00018093 | WA | Other Service Providers |
| Street Address |
3501 SHELBY RD. SUITE C |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528401593 | Sisay S Jorga | Specialist | 16418 7th Pl W Ste B, Lynnwood, WA 98037-8100 | 2013-04-09 |
| 1356684195 | Tonya Nichole Despain | Specialist | 16303 Highway 99 Ste 2b, Lynnwood, WA 98087-1453 | 2013-03-30 |
| 1700139516 | Ashley Marie Nicklin | Specialist | 19505 44th Ave W, Suite A, Lynnwood, WA 98036-5658 | 2012-10-17 |
| 1740555176 | Alexandrea Dawn Yarbrough | Specialist | 19720 68th Ave W Ste B, Lynnwood, WA 98036-4568 | 2012-03-19 |
| 1144518978 | Krysta Lee Shove | Specialist | 16303 Hwy 99, Suite 2b, Lynnwood, WA 98087-1453 | 2011-07-13 |
| 1083917082 | Aci Health & Wellness Center | Specialist | 18205 Alderwood Mall Pkwy, Unit K, Lynnwood, WA 98037-3913 | 2010-12-13 |
| 1528394061 | Sarah R Pike | Specialist | 5710 200th St Sw Apt 105, Lynnwood, WA 98036-6254 | 2009-10-18 |
| 1386883395 | Northwest Return 2 Work, LLC | Specialist | 19231 36th Ave W, Suite K, Lynnwood, WA 98036-5763 | 2009-02-13 |
| 1497902738 | Kimberly Laine Roehl | Specialist | 16626 6th Ave W, G304, Lynnwood, WA 98037-8834 | 2008-08-19 |
| 1235300393 | Ashley Nicole Hilger Brothers | Specialist | 7127 196th St Sw Ste 101, Lynnwood, WA 98036-5078 | 2008-03-17 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.