BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS NPI 1720111792

NPI Information

  • NPI: 1720111792
  • Provider Name: BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: BELLEVUE SPINE SPECIALIST
  • Address: 13033 BEL RED RD
    SUITE 120
    BELLEVUE, WA
    ZIP 98005
  • Phone: (425) 452-0101

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NPI Details

BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS is an ambulatory surgical clinic center in Bellevue, WA. BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS NPI is 1720111792. The provider is registered as an organization entity type.
The provider Is Doing Business As Bellevue Spine Specialist.

The provider's business location address is:

13033 BEL RED RD
SUITE 120
BELLEVUE, WA
ZIP 98005-622
Phone: (425) 452-0101

The provider's authorized official is David H. Chang .
The authorized official title is President and has the following contact phone number (425) 452-0404.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 5/8/2019.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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