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DR. BRENDAN JOHN MCCULLOUGH MD NPI 1497954317


NPI Information

NPI: 1497954317
Provider Name: DR. BRENDAN JOHN MCCULLOUGH, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036
Phone: (425) 563-1500
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DR. Brendan John Mccullough, MD is a neuroradiology radiology in Lynnwood, WA with 17 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Brendan John Mccullough, MD NPI is 1497954317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036-748
Phone: (425) 563-1500
Fax: (425) 563-1501

The NPI 1497954317 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), Power Mobility Devices.

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.

  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of face (HCPCS:70486)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 7/11/2007 and was last updated on 8/28/2019.


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
12085N0700XRadiologyNeuroradiologyMEDS7777ALASKANo
22085N0700XRadiologyNeuroradiologyM-12499IDAHONo
32085R0202XRadiologyDiagnostic RadiologyMD60106629WASHINGTONNo
42085R0202XRadiologyDiagnostic RadiologyMEDS7777ALASKANo
52085R0202XRadiologyDiagnostic RadiologyM-12499IDAHONo
62085N0700XRadiologyNeuroradiologyMD60106629WASHINGTONYes

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
11613891MEDICAIDALASKA
20317438OTHERWASHINGTONL&I-RADIA REST OF WA
30341836OTHERWASHINGTONL&I-RADIA KING COUNTY
40341845OTHERWASHINGTONL&I-EVERGREEN RADIA
50404021OTHERWASHINGTONL&I-SEATTLE RADIOLOGY
61497954317MEDICAIDIDAHO
70341837OTHERWASHINGTONL&I-SWEDISH RADIA EDMONDS
82018524MEDICAIDWASHINGTON

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.