MR. ALEX E BROADY (NPI# 1053754416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053754416 |
| Entity Type | Individual |
| Full Name | MR. ALEX E BROADY |
| Credential | CDPT |
| Practice Address |
17300 Se 392nd Street Auburn WA 98092 |
| Mailing Address |
17300 Se 392nd Auburn WA 98092 |
| Practice Telephone | 2538048752 |
| Mailing Telephone | 2538048752 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60140114 | WA | Behavioral Health & Social Service Providers |
| Street Address |
17300 SE 392ND STREET |
| City | AUBURN |
| State | WA |
| Zip Code | 98092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127922 | Washington Dental Corporation, PC | Dentist | 7084 Lakeland Hills Way, Suite 104, Auburn, WA 98092 | 2019-07-25 |
| 1659854784 | Brady Glenn Christoph | Physical Therapist | Auburn School District, 29205 132nd Ave Se, Auburn, WA 98092 | 2018-09-14 |
| 1588110217 | Elonna Alexanderovna Korolchuk | Nurse's Aide | 11223 Se 309th St, Auburn, WA 98092 | 2016-09-01 |
| 1801154828 | Aaron Soto Valencia | Counselor | 39101 180th Ave Se, Auburn, WA 98092 | 2012-04-27 |
| 1447467188 | D Lyn Dyan Lee | Massage Therapist | 1408 Lake Tapps Parkway East, Suite E106, Auburn, WA 98092 | 2007-05-16 |
| 1497817415 | Dale Allen Hansen | Chiropractor | 3321 Auburn Way South, Suite G, Auburn, WA 98092 | 2006-12-15 |
| 1922176874 | Kimberly B Fisher | Physical Therapist | 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 | 2006-11-30 |
| 1760575450 | Roger Arthur Anderson | Dentist | 7125 224th Street Sw, Edmonds, WA 98092 | 2006-10-02 |
| 1053479907 | Nancy Louise Johnson | Physical Therapist | 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 | 2006-12-04 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| Find all providers in zip 98092 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044715 | James Raymond Watts | Counselor | 31624 117th Ave Se, Auburn, WA 98092-3697 | 2020-05-16 |
| 1992344329 | Jessica Megan Basaldua | Counselor | 178 Gamage Ave Apt 1, Auburn, ME 04210-4573 | 2020-01-02 |
| 1104397314 | Chanda Denise Allen | Counselor | 721 45th St Ne, Auburn, WA 98002-1303 | 2018-12-16 |
| 1447733746 | Theodore Parfet | Counselor | 12183 Locksley Ln # 101102, Auburn, CA 95602-2004 | 2018-09-12 |
| 1033612742 | Jeffery M Ostrom | Counselor | 12183 Locksley Ln Ste 201, Auburn, CA 95602-2052 | 2018-03-09 |
| 1972010650 | Mountain Side Behavioral Health | Counselor | 70 College Way, Auburn, CA 95603-5001 | 2018-01-04 |
| 1962864421 | Yesenia Estrada | Counselor | 11837 Kemper Rd Ste 2, Auburn, CA 95603-9067 | 2016-03-24 |
| 1235507419 | Debra Rossi | Counselor | 12183 Locksley Ln Ste 103, Auburn, CA 95602-2050 | 2015-09-04 |
| 1023417136 | Canaan Sampson | Counselor | 11837 Kemper Rd, Auburn, CA 95603-9067 | 2014-08-14 |
| 1023350980 | Jaime S Tomlinson | Counselor | 50 Chicoine Ave, Auburn, ME 04210-8964 | 2013-03-19 |
| Find all providers in AUBURN | ||||
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| 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.