Individual
DR. BRADLEY BRIAN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5171 W OLIVE AVE, GLENDALE, AZ 85302-4204
(602) 900-4780
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-5947
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27797
AZ
207P00000X
Emergency Medicine Physician
Primary
MD29012
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217366
LIWA
WA
01
—
5088HU
BSWA
WA
05
—
8147597
—
WA
Enumeration date
05/26/2006
Last updated
04/14/2026
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