Active NPI
Brandon M Nudelman, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- MD61551110
- Practice address
- 4455 148TH Ave NE FL B1
Bellevue, WA 98007-3120 - Phone
- (206) 386-2600
- NPI assigned
- Apr 12, 2018
- Last updated
- Jan 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A164777 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD61551110 | WA | Primary |
Addresses
Primary practice location
4455 148TH Ave NE FL B1
Bellevue, WA 98007-3120
Mailing address
601 Broadway Ste 700
Seattle, WA 98122-5330
Other practice location 1
601 Broadway Ste 700
Seattle, WA 98122-5330
Phone (206) 386-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Chicago College of Medicine and Surgery, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4455 148TH Ave NE
Bellevue, WA 98007-3120
Phone (206) 386-2600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.42 of 100
- Quality
- 68.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opa Ortho PLLC | Multi-Specialty | Current | Accepting new patients |
| Swedish Health Services | Multi-Specialty | Past | Accepting new patients |
Locations
4455 148th Ave NE
Bellevue, WA 98007
Phone (425) 861-6255
4455 148th Ave NE
Fl B1
Bellevue, WA 98007
4455 148th Ave NE
Ste B1
Bellevue, WA 98007
20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132
601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600
601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311
601 Broadway
Ste 700
Seattle, WA 98122
Phone (425) 498-2272
900 Terry Ave
Ste 100
Seattle, WA 98104
Phone (206) 694-6665
9709 3rd Ave NE
Fl 3
Seattle, WA 98115
Interoperability endpoints
- brandon.nudelman.p1@direct.opa.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1285131482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BROADWAY STE 700",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 148TH AVE NE FL B1",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073120",
"telephone_number": "206-386-2600"
}
],
"practiceLocations": [
{
"address_1": "601 Broadway Ste 700",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225330",
"country_code": "US",
"telephone_number": "206-386-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUDELMAN",
"first_name": "BRANDON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A164777",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WA",
"license": "MD61551110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.