Dr Andrew Trueman Brockenbrough, MD | |
24920 104th Ave Se, Kent, WA 98030-6443 | |
(425) 690-3544 | |
(425) 690-9444 |
Full Name | Dr Andrew Trueman Brockenbrough |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 26 Years |
Location | 24920 104th Ave Se, Kent, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316994288 | NPI | - | NPPES |
1007639 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | MD00039138 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nkc Renton Kidney Center | Renton, WA | Dialysis facility |
Nkc Kent Kidney Center | Kent, WA | Dialysis facility |
Nkc Seattle Kidney Center | Seattle, WA | Dialysis facility |
Nkc Seatac Kidney Center | Seatac, WA | Dialysis facility |
Nkc Auburn Kidney Center | Auburn, WA | Dialysis facility |
Valley Medical Center | Renton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Medical Group-renton | 4183753965 | 424 |
Entity Name | Valley Medical Group-renton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Trueman Brockenbrough, MD 3600 Lind Ave Sw, Ste 100, Renton, WA 98057-4934 Ph: (425) 656-5412 | Dr Andrew Trueman Brockenbrough, MD 24920 104th Ave Se, Kent, WA 98030-6443 Ph: (425) 690-3544 |
Jennifer Lynn Azen, M.D., M.P.H. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S., Kent, WA 98032 Phone: 206-543-0065 | |
Hien Pham, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-395-1944 | |
Dr. Rijuna Menon, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-1944 Fax: 253-520-3242 | |
Kingman K Ho, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 24604 104th Ave Se, Suite 101, Kent, WA 98030 Phone: 253-395-2001 Fax: 253-852-8012 | |
Sandra Marian Lord, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S, Kent, WA 98032 Phone: 206-870-8880 | |
Brian Wayne Goodell, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 24705 142nd Ave Se, Kent, WA 98042 Phone: 253-631-6154 |