Individual
DEWAYNE THOMAS BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00043530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039572
LABOR & INDUSTRY
WA
01
—
8050BR
BLUE SHIELD
WA
05
—
8392664
—
WA
01
—
P00285478
RAILROAD MEDICARE
—
01
—
US7329597
AETNA/USHC SPECIALIST
WA
Enumeration date
08/30/2006
Last updated
04/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us