DR. PETER BRIERLEY ODLAND MD NPI 1093896102

NPI Information

NPI: 1093896102
Provider Name: DR. PETER BRIERLEY ODLAND, MD
Classification: Dermatology - 207ND0101X
Specialization: MOHS-Micrographic Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 1229 MADISON ST
SUITE 1480
SEATTLE, WA
ZIP 98104
Phone: (206) 346-6647

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NPI Details

DR. Peter Brierley Odland, MD is a mohs-micrographic surgery dermatology in Seattle, WA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Peter Brierley Odland, MD NPI is 1093896102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1229 MADISON ST
SUITE 1480
SEATTLE, WA
ZIP 98104-586
Phone: (206) 346-6647
Fax: (206) 346-6022

The NPI 1093896102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/7/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ND0101X	Dermatology	MOHS-Micrographic Surgery	MD00026929	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AO3661	MEDICARE UPIN	WASHINGTON
2	911954101	OTHER		EIN
3	GAB37752	MEDICARE PIN	WASHINGTON
4	8722OD	OTHER		BLUE CROSS BLUE SHIELD
5	OD4638	OTHER		BLUE CROSSBLUE SHIELD

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: 11/21/2025

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