Individual
DR. BRANDEE L GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91908
CA
207R00000X
Internal Medicine Physician
MD00047884
WA
208M00000X
Hospitalist Physician
Primary
MD00047884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039581
LABOR AND INDUSTRIES #
WA
01
—
3139GR
BLUE SHIELD #
WA
05
—
8493785
—
WA
01
—
P00444077
RAILROAD MC #
WA
01
—
US9473065
AETNA PCP PIN #
WA
Enumeration date
08/05/2006
Last updated
05/05/2010
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