Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON TRENT BROADY, LMP
ActiveSpecialist · LYNNWOOD, WA
Registration Details
- NPI Number
- 1043361900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.288847187186 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA00018093 (WA)
Practice Information
- Address
-
3501 SHELBY RD. SUITE CLYNNWOOD, WA, 98087Browse WA providers · Browse ZIP 98087
- Phone
- 4257459052
- Fax
- 4257453372
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LYNNWOOD, WA
| Name | Credential | NPI |
|---|---|---|
| SHANON TYSLAND | RPTL | 1851398754 |
| MRS. JENNIFER LYNN MELLE | LMP | 1104908052 |
| MR. CHAD ERIC TRIPLETT | L.M.P. | 1346398823 |
| MS. SHANNON LYNNE QUENZER | LMP | 1013067008 |
| ELIZABETH KEHAULANI CHRISTIAN | LMP | 1053462234 |
| HILLARY MALU | LMP | 1922153469 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.