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Contact Information

BRENDON A MOODLEY, DPM
8980 161ST AVE NE
REDMOND, WA98052
 Phone: 425-899-1115
 Fax: 425-899-1116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRENDON A MOODLEY · (Male)

NPI # 1275566549
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/09/2006
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO3187
  • WA License # PO 60112477
Hospital affiliation(s)
  • EVERGREEN HOSPITAL MEDICAL CENTER - (Acute Care)
    12040 NE 128TH STREET
    KIRKLAND, WA 98034
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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