BRADLEY J CAPAWANA, DPM, Surgery, Foot & Ankle PULLMAN, WA

Contact Information

BRADLEY J CAPAWANA, DPM

825 SE BISHOP BLVD STE 140
PULLMAN, WA 99163-5517

Phone: 509-334-4498
Fax: 509-339-7324
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

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NPI Profile & details for BRADLEY J CAPAWANA · (Male)

NPI Number	`1447257076`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	06/28/2005
Last updated	07/09/2025 - About 11 months ago
Sole proprietor ¹	Yes
Identifiers	ID License # P-159 WA License # PO00000638 ID Medicaid 805505000 WA Medicaid 1108034 WA Medicaid 2195298
Hospital affiliation(s)	BENEWAH COMMUNITY HOSPITAL - (Critical Access) 229 SOUTH 7TH STREET ST MARIES, ID 83861 GRITMAN MEDICAL CENTER - (Critical Access) 700 SOUTH MAIN STREET MOSCOW, ID 83843 PULLMAN REGIONAL HOSPITAL - (Critical Access) 835 S BISHOP BLVD PULLMAN, WA 99163

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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BRADLEY J CAPAWANA, DPM – NPI #1447257076Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BRADLEY J CAPAWANA · (Male)

Reviews for BRADLEY J CAPAWANA

BRADLEY J CAPAWANA, DPM – NPI #1447257076
Surgery, Foot & Ankle