BRADFORD K.W. CHANG (NPI# 1033733035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033733035 |
| Entity Type | Individual |
| Full Name | BRADFORD K.W. CHANG |
| Credential | PHD |
| Practice Address |
13620 Ne 20th St Ste I Bellevue WA 98005-4901 |
| Mailing Address |
6139 147th Pl Se Bellevue WA 98006-4601 |
| Practice Telephone | 4255338173 |
| Mailing Telephone | 4255338173 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PY00002048 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770658619 | Bradford Chang | Optometrist | 929 Clay St Ste 203, San Francisco, CA 94108-1556 | 2006-11-22 |
| Street Address |
13620 NE 20TH ST STE I |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281936 | Helping Hands for The Disabled | Psychologist | 1800 145th Pl Se, Bellevue, WA 98007-6072 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043539018 | Uw Care Clinic | Psychologist | 3945 15th Ave Ne, Seattle, WA 98105-6607 | 2010-05-28 |
| 1730365560 | Zhankun Cheng | Psychologist | 9409 B 35th Ave Sw, Seattle, WA 98126 | 2008-01-10 |
| 1639389372 | Jeannette Stark Myers | Psychologist | 85 Scott Hill Dr, Orcas, WA 98280-0399 | 2007-05-23 |
| 1568504785 | Robin Theresa Lunsford Sr. | Psychologist | 7658 Trica Ave Ne, Bremerton, WA 98311-4010 | 2007-02-13 |
| 1538726252 | Alta Vista Integrated Life Services | Psychologist | 7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930 | 2019-05-29 |
Please comment or provide details below to improve the information on BRADFORD K.W. CHANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.