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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDON ANDRONICUS MOODLEY, DPM

Active

BRENDON ANDRONICUS MOODLEY, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in REDMOND, Washington. NPI 1275566549 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · REDMOND, WA

Registration Details

NPI Number
1275566549
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2006 (20.108702297714 yrs)
Last Updated
Sep 19, 2012
Licenses
PO3187 (FL)
PO 60112477 (WA)

Practice Information

Address
8980 161ST AVE NE
REDMOND, WA, 98052
Browse WA providers · Browse ZIP 98052
Phone
4258991115
Fax
4258991116
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in REDMOND, WA

Name Credential NPI
OLEG PISMAN D.P.M. 1952433849
DR. BENJAMIN MARK SCAPA DPM 1023388451
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.