Bradford Deahl Granath in Renton - Family Medicine
Bradford Deahl Granath - NPI 1164521670
Bradford Deahl Granath is a Family Medicine in Renton, Washington. Bradford Deahl Granath practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bradford Deahl Granath is 1164521670. The last update date is 2019-07-16.
Bradford Deahl Granath's current location address is 3600 Lind Ave Sw, Renton, Washington. You can contact this provider via phone number 4256903445 and fax number 4256909445. The mailing address for Bradford Deahl Granath is 3600 Lind Ave Sw, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Deahl Granath |
|---|---|
| Address | 3600 Lind Ave Sw, Renton, Washington |
| Phone Number | 4256903445 |
| Fax Number | 4256909445 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164521670 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2019-07-16 |
Provider Mailing Address Detail
| Address | 3600 Lind Ave Sw |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 98057 |
| Phone Number | 4256903445 |
| Fax Number | 4256909445 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 11269 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29D1045101 | NV | CLIA WAIVED # | |
| 100507165 | NV | -- | |
| 11269 | NV | STATE LICENCE # | |
| 100507319 | NV | -- | |
| 203580193 | NV | TAX ID | |
| CC1838 | NV | BLUECROSS BLUESHIELD # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bradford Deahl Granath by the Centers for Medicare & Medicaid Services?
The Bradford Deahl Granath has been assigned the NPI (National Provider Identifier) 1164521670 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bradford Deahl Granath?
The Bradford Deahl Granath is physically situated at 3600 Lind Ave Sw, in the city of Renton, state of WA, with the postal code 98057.
What is the Bradford Deahl Granath's specialty and taxonomy code?
The Bradford Deahl Granath's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1164521670 assigned to Bradford Deahl Granath?
The Bradford Deahl Granath was issued its 1164521670 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bradford Deahl Granath most recently updated or refreshed?
The details pertaining to the Bradford Deahl Granath, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-07-16.