# DR. BRADLY JOHN CAPAWANA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447257076
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P-159 | ID | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000638 | WA | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 06/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1108034 | — | WA |
| 05 | — | 2195298 | — | WA |
| 05 | — | 805505000 | — | ID |