Individual
DR. BRENDAN JOHN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
M-12499
ID
2085N0700X
Neuroradiology Physician
MD60106629
WA
2085N0700X
Neuroradiology Physician
MEDS7777
AK
2085R0202X
Diagnostic Radiology Physician
M-12499
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD60106629
WA
2085R0202X
Diagnostic Radiology Physician
MEDS7777
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0317438
L&I-RADIA REST OF WA
WA
01
—
0341836
L&I-RADIA KING COUNTY
WA
01
—
0341837
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0341845
L&I-EVERGREEN RADIA
WA
01
—
0404021
L&I-SEATTLE RADIOLOGY
WA
05
—
1497954317
—
ID
05
—
1613891
—
AK
05
—
2018524
—
WA
Enumeration date
07/11/2007
Last updated
02/23/2026
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