BRENDON ANDRONICUS MOODLEY DPM NPI 1275566549

NPI Information

  • NPI: 1275566549
  • Provider Name: BRENDON ANDRONICUS MOODLEY, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8980 161ST AVE NE
    REDMOND, WA
    ZIP 98052
  • Phone: (425) 899-1115

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NPI Details

Brendon Andronicus Moodley, DPM is a foot and ankle surgery podiatrist in Redmond, WA with 22 years of experience. Brendon Andronicus Moodley, DPM NPI is 1275566549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2003

The provider's business location address is:

8980 161ST AVE NE
REDMOND, WA
ZIP 98052
Phone: (425) 899-1115
Fax: (425) 899-1116

The NPI 1275566549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Permanent removal fingernail or toenail (HCPCS:11750)

The enumeration date for this NPI number is 7/9/2006 and was last updated on 9/19/2012.

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
1213ES0103XPodiatristFoot & Ankle SurgeryPO 60112477WASHINGTONNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO3187FLORIDAYes

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: 3/30/2025

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