BRUCE C TWADDLE (NPI# 1306186275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306186275 |
| Entity Type | Individual |
| Full Name | BRUCE C TWADDLE |
| Credential | MD |
| Practice Address |
3800 Montlake Blvd Room 148b Seattle WA 98195-0007 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065431552 |
| Practice Fax Number | 2065436573 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
TR60365934 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| Street Address |
3800 MONTLAKE BLVD ROOM 148B |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760443345 | Jennifer Sarah Carrol | Specialist/Technologist | 3800 Montlake Blvd, Box 354060, Seattle, WA 98195-4060 | 2006-03-31 |
| 1235609157 | Mahra K. Davidson | Physician Assistant | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2018-12-04 |
| 1659815389 | Kaitlyn Valentine | Physical Therapy Assistant | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2016-12-15 |
| 1538602925 | Theadora Traines | Case Manager/Care Coordinator | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2016-12-02 |
| 1396113999 | Cristina Getto | Specialist/Technologist | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2015-09-13 |
| 1609273598 | Phillip Higgins | Physical Therapist | 3800 Montlake Blvd, Seattle, WA 98195-6174 | 2014-11-20 |
| 1790184463 | Jordyn Eisenhard | Specialist/Technologist | 3800 Montlake Blvd, Box 354060, Seattle, WA 98195-0007 | 2014-08-19 |
| 1164857595 | University of Washington Medical Center | Clinic/Center | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2013-09-04 |
| 1740614791 | Jamien Murphy | Physical Therapy Assistant | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2013-08-27 |
| 1053653311 | Elliot J O'connor | Physical Therapist | 3800 Montlake Blvd, Seattle, WA 98195-0007 | 2013-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851603161 | Adam M Pourcho | Orthopaedic Surgery | 1600 E Jefferson St Ste 600, Seattle, WA 98122-5649 | 2010-07-02 |
| 1154552768 | Donald Louis Maclean Glasgow | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2009-07-30 |
| 1093815219 | Angelique Geerje Witteveen | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2006-09-25 |
| 1275564155 | Rosemary Agostini | Orthopaedic Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-07-06 |
| 1689649311 | Winston John Warme | Orthopaedic Surgery | 1959 Ne Pacific St, Box 356500, Seattle, WA 98195-6500 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1376751669 | Christopher J. Van Hofwegen | Orthopaedic Surgery | 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1813 | 2007-05-18 |
| 1194822874 | Amaryllis J. Scott | Orthopaedic Surgery | 785 E Holland Ave, Spokane, WA 99218-1257 | 2006-09-17 |
| 1477572931 | James J Wyman | Orthopaedic Surgery | 11212 Sunrise Blvd E Ste 201, Puyallup, WA 98374-8847 | 2006-07-18 |
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1205887056 | Christopher George Anderson | Orthopaedic Surgery | 12410 East Sinto, Suite 210, Spokane, WA 99216 | 2006-05-15 |
| 1942250535 | Vincent M Santoro | Orthopaedic Surgery | 12333 Ne 130th Lane, #400, Kirkland, WA 98034-7467 | 2006-05-12 |
| 1720040371 | Phillip A Medina | Orthopaedic Surgery | 4361 Talbot Road S, #102, Renton, WA 98055 | 2006-04-06 |
| 1356326870 | Donald William Henline | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2005-12-07 |
| 1679122758 | Taylor Nicole Fowers | Orthopaedic Surgery | 12039 Ne 128th St Ste 400, Kirkland, WA 98034-3029 | 2019-09-10 |
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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.