Braden Charles Stridde, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

27531 Issued in WA

Practice address

10117 NE 58TH Street
Suite 100
Kirkland, WA 98033-7450

Phone

(425) 202-4709

Fax

(425) 576-4102

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longview Anesthesiology Group, PC

  • Anesthesiology Physician
  • Longview, WA
  • NPI 1003894957
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1245385236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CARILLON POINT, BUILDING 5000, 4TH FLOOR",
            "address_2": "SUITE 409",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357",
            "telephone_number": "425-202-4709",
            "fax_number": "425-576-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 NE 58TH STREET",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337450",
            "telephone_number": "425-202-4709",
            "fax_number": "425-576-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIDDE",
        "first_name": "BRADEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00027531",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "27531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Straight
• Patricia Alyse Strait, LMT
• Julie Ann Strasser, LMT, LME, CAP
• Heather Stratton-Njenga
• Jaleel Strickland
• Strive Pediatric Therapy LLC
• Jan E. Stroh, MD
• Laurie Strom, LICSW
• Destiny Melena Strong
• Strother Dermatology and Laser Treatment Center PLLC

• Pediatrics Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.