DR. MICHAEL E BRAGE (NPI# 1194728709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194728709 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E BRAGE |
| Credential | M.D. |
| Practice Address |
908 Jefferson St Box 359799 Seattle WA 98104-2433 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2067444830 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2011-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD00028221 | WA | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MD00028221 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1194728709 | 05 | |
| WA | L&I PROVIDER NUMBER | 0275659 | 01 |
| Street Address |
908 JEFFERSON ST BOX 359799 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140442 | Abigail L Polizotto | Physician Assistant | 908 Jefferson St, Seattle, WA 98104-2433 | 2019-02-18 |
| 1316433436 | Christopher Wai Lew | Physical Therapist | 908 Jefferson St, Seattle, WA 98104-2433 | 2018-07-02 |
| 1346776846 | Jessica Cady Eaton | Student in an Organized Health Care Education/Training Program | 908 Jefferson St, Seattle, WA 98104-2433 | 2017-05-04 |
| 1386178309 | Jacob Wilkerson | Student in an Organized Health Care Education/Training Program | 908 Jefferson St, Ninth and Jefferson Building (njb), 8th Floor Room 809, Seattle, WA 98104-2433 | 2017-04-17 |
| 1801334248 | Morissa Pertik | Physician Assistant | 908 Jefferson St, Suite 11nj-1166, Seattle, WA 98104-2433 | 2017-02-06 |
| 1205288644 | Philippe Martel | Neurological Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2016-07-11 |
| 1346619335 | Catherine G Ignacio | Nurse Practitioner | 908 Jefferson St, 5th Floor, Seattle, WA 98104-2433 | 2015-09-19 |
| 1639580194 | Christine Ann Petersen | Ophthalmology | 908 Jefferson St, Seattle, WA 98104-2433 | 2014-05-17 |
| 1134530330 | Saad Elrahmany | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2014-05-12 |
| 1982015293 | David W Greaves | Occupational Therapist | 908 Jefferson St, Physical and Hand Therapy Clinic, Seattle, WA 98104-2433 | 2014-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417115 | Anne P Mccormack | Orthopaedic Surgery | 6823 19th Ave Ne, Seattle, WA 98115-6941 | 2006-12-28 |
| 1073925087 | Thiran Udawatta | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2014-05-25 |
| 1518229152 | Kenneth Moy Chin | Orthopaedic Surgery | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2012-06-11 |
| 1750660783 | Nicole Zappa | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2011-08-08 |
| 1588817118 | Uma E Erard | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2008-10-28 |
| 1215183850 | Alan Joseph Laing | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2008-08-14 |
| 1083870075 | Joan R Williams | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2008-07-30 |
| 1811168339 | Janice Patrece Clark | Orthopaedic Surgery | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2008-03-13 |
| 1063603116 | Helen J Rawlinson | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2007-08-05 |
| 1578618450 | Mark Andrew Reed | Orthopaedic Surgery | 2409 N 45th St, Seattle, WA 98103-6907 | 2007-01-24 |
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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.