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DOCTORS OF BELLEVUE-REDMOND PLLC NPI 1598941551


NPI Information

NPI: 1598941551
Provider Name: DOCTORS OF BELLEVUE-REDMOND, PLLC

Former Legal Business Name: DR. BARDMAN MEDICAL OFFICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 50D2296284

Address:
15710 NE 24TH STREET
STE C
BELLEVUE, WA
ZIP 98008
Phone: (425) 208-0026
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DOCTORS OF BELLEVUE-REDMOND, PLLC is a primary care clinic center in Bellevue, WA. DOCTORS OF BELLEVUE-REDMOND, PLLC NPI is 1598941551. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dr. Bardman Medical Office.

The provider's business location address is:

15710 NE 24TH STREET
STE C
BELLEVUE, WA
ZIP 98008-444
Phone: (425) 208-0026
Fax: (425) 644-3868

The provider's authorized official is Maryana Shaban .
The authorized official title is Manager and has the following contact phone number (425) 208-0026.

The CLIA number assigned to this NPI record is 50D2296284 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2008 and was last updated on 8/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care44878WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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