Brandon Trent Broady in Lynnwood - Specialist
Brandon Trent Broady - NPI 1043361900
Brandon Trent Broady is a Specialist in Lynnwood, Washington. Brandon Trent Broady practices all healthcare services and medical treatments related to Specialist. The NPI Number for Brandon Trent Broady is 1043361900. The last update date is 2007-07-08.
Brandon Trent Broady's current location address is 3501 Shelby Rd. Suite C, Lynnwood, Washington. You can contact this provider via phone number 4257459052 and fax number 4257453372. The mailing address for Brandon Trent Broady is 3501 Shelby Rd. Suite C, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Trent Broady |
|---|---|
| Address | 3501 Shelby Rd. Suite C, Lynnwood, Washington |
| Phone Number | 4257459052 |
| Fax Number | 4257453372 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1043361900 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3501 Shelby Rd. Suite C |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 98087 |
| Phone Number | 4257459052 |
| Fax Number | 4257453372 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00018093 |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Brandon Trent Broady by the Centers for Medicare & Medicaid Services?
The Brandon Trent Broady has been assigned the NPI (National Provider Identifier) 1043361900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Brandon Trent Broady located?
The Brandon Trent Broady is located at 3501 Shelby Rd. Suite C, Lynnwood, WA 98087.
What is the Brandon Trent Broady's specialty and taxonomy code?
The Brandon Trent Broady's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043361900 to Brandon Trent Broady?
The Centers for Medicare & Medicaid Services originally issued the 1043361900 to Brandon Trent Broady on 2007-01-16.
When was the information regarding Brandon Trent Broady, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brandon Trent Broady, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.