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Contact Information

DEWAYNE T BRADLEY, MD
904 7TH AVE
SEATTLE, WA98104-1132
 Phone: 206-329-1760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DEWAYNE T BRADLEY · (Male)

NPI Number 1144339276
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 04/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00043530
  • WA Medicaid 8392664
  • Other P00285478 RAILROAD MEDICARE
  • WA Other US7329597 AETNA/USHC SPECIALIST
  • WA Other 8050BR BLUE SHIELD
  • WA Other 0039572 LABOR & INDUSTRY
Hospital affiliation(s)
  • SWEDISH MEDICAL CENTER - (Acute Care)
    747 BROADWAY
    SEATTLE, WA 98122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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