Bradley L Nicholson, MD | |
747 Broadway, Seattle, WA 98122-4379 | |
(206) 386-6000 | |
Not Available |
Full Name | Bradley L Nicholson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 747 Broadway, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891750014 | NPI | - | NPPES |
8325581 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD00037334 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD00037334 (Washington) | Primary |
Entity Name | Seattle Emergency Physicians Services Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376642298 PECOS PAC ID: 4284521691 Enrollment ID: O20040301001149 |
Mailing Address | Practice Location Address |
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Bradley L Nicholson, MD 3700 Sw Edmunds St, Seattle, WA 98126-2738 Ph: () - | Bradley L Nicholson, MD 747 Broadway, Seattle, WA 98122-4379 Ph: (206) 386-6000 |
Sasha Kaiser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Kristopher Allen Hendershot, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Dr. Lauren Kristen Whiteside, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-8464 | |
Brenda Park, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-368-5762 Fax: 814-537-5677 | |
Rhadika Mccormick Souza, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 Seneca St, Seattle, WA 98101 Phone: 206-583-6433 Fax: 206-583-6583 | |
Eleanor Ganz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-598-4955 | |
Dr. Gary H. Somers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 N 115th St, Seattle, WA 98133 Phone: 206-368-1765 |