Dr Bradford Deahl Granath, MD | |
3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | |
(425) 690-3445 | |
(425) 690-9445 |
Full Name | Dr Bradford Deahl Granath |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 3915 Talbot Rd S Ste 401, Renton, 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 |
---|---|---|---|
1164521670 | NPI | - | NPPES |
29D1045101 | Other | NV | CLIA WAIVED # |
100507165 | Medicaid | NV | |
11269 | Other | NV | STATE LICENCE # |
100507319 | Medicaid | NV | |
203580193 | Other | NV | TAX ID |
CC1838 | Other | NV | BLUECROSS BLUESHIELD # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11269 (Nevada) | Secondary |
207Q00000X | Family Medicine | MD00025394 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Overlake Hospital Medical Center | Bellevue, WA | Hospital |
Valley Medical Center | Renton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Medical Group-renton | 4183753965 | 424 |
Overlake Medical Clinics Llc | 7012808827 | 348 |
Entity Name | Overlake Medical Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
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 Bradford Deahl Granath, MD 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057 Ph: (425) 690-3445 | Dr Bradford Deahl Granath, MD 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 Ph: (425) 690-3445 |
Dominique James Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-690-3400 Fax: 425-690-0600 | |
Dr. Tory John Olsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-656-4224 | |
Anna Eleanor Goebel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Ne 4th St Ste 105, Renton, WA 98056 Phone: 425-690-3410 Fax: 425-690-9410 | |
Sumam Marion Abraham, Family Medicine Medicare: Medicare Enrolled Practice Location: 275 Bronson Way Ne, Renton, WA 98056 Phone: 425-235-2800 | |
John L. Bondi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3915 Talbot Rd S, Ste 401, Renton, WA 98055 Phone: 425-656-4224 | |
Arkadiy B. Tkachev, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 S Carr Rd, Suite 100, Renton, WA 98055 Phone: 415-227-3700 | |
Daniel L Brelsford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Ne 4th St, Ste 105, Renton, WA 98056 Phone: 425-690-3410 Fax: 425-690-9410 |