Active NPI
Springbrook Urologic Associates, Inc
- Urology Physician
- Renton, WA
National Provider Identifier
1235199720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 16560
- Legal business name
- SPRINGBROOK UROLOGIC ASSOCIATES, INC
- Practice address
- 4011 Talbot Rd S
Renton, WA 98055-5791 - Phone
- (425) 251-3455
- Fax
- (425) 656-5002
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Guy V Buell, M.D.
- Title
- President
- Phone
- (425) 251-3455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 16560 | WA | Primary |
Addresses
Primary practice location
4011 Talbot Rd S
Renton, WA 98055-5791
Mailing address
4011 Talbot Rd S
Renton, WA 98055-5791
Phone (425) 251-3455
National Provider Directory
National Provider DirectoryLocations
4011 Talbot Rd S
Renton, WA 98055
Phone (425) 656-5300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235199720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555791",
"telephone_number": "425-251-3455",
"fax_number": "425-656-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555791",
"telephone_number": "425-251-3455",
"fax_number": "425-656-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGBROOK UROLOGIC ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUELL",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-251-3455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "WA",
"license": "16560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.