# DR. BRANDON WALLACE GODFREY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629495833
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 23560 | NV | — |
| 207P00000X | Emergency Medicine Physician | 51008 | AZ | — |
| 207P00000X | Emergency Medicine Physician | 61518892 | WA | — |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | 61518892 | WA | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 04/12/2026