Individual
DR. CHARLES E BRONDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045905
—
WA
01
—
31507
LABOR AND INDUSTRIES
WA
05
—
35-9723
—
MT
01
—
E01073
ASURIS
—
01
—
KA634
BLUE CROSS OF IDAHO
ID
Enumeration date
06/20/2006
Last updated
07/13/2026
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