Individual
BRAD D BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2222 JAMES ST, SUITE, A, BELLINGHAM, WA 98225-4152
(360) 676-4030
(360) 676-4030
Mailing address
4026 SPRINGLAND LN, BELLINGHAM, WA 98226
(360) 738-8304
(360) 676-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3766
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175737
L&I
WA
05
—
2026573
—
WA
01
—
8755BE
REGENCE
WA
Enumeration date
05/14/2007
Last updated
07/08/2007
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