Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT JAMES WIEDERHOLD, MD
ActiveBRENT JAMES WIEDERHOLD, MD is a Family Medicine healthcare provider located in RENTON, Washington. NPI 1356915417 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RENTON, WA
Registration Details
- NPI Number
- 1356915417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2021 (5.0715390861447 yrs)
- Last Updated
- Aug 7, 2025
- License
-
MD61430168 (WA)
Practice Information
- Address
-
14410 SE PETROVITSKY RD STE 104RENTON, WA, 980588900Browse WA providers · Browse ZIP 98058
- Phone
- 4256903405
- Fax
- 4256909405
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in RENTON, WA
| Name | Credential | NPI |
|---|---|---|
| SONJA MADDOX | MD | 1295732113 |
| AILEEN HIDALGO MONPONBANUA | MD | 1639162456 |
| DR. CAROLYN ELIZ ALBRITTON - MCDONALD | MD | 1750371399 |
| DR. CLAIRE SCHWEIKER HANSON | DO | 1487636312 |
| MARCIA C, JORDAN | M.D. | 1558331454 |
| REZA ROY BERJIS | MD | 1285607606 |
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.