Individual provider Active NPI

Brandon M Nudelman, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bellevue, WA
National Provider Identifier
1285131482
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD61551110 Issued in WA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021002690 WA Practitioner - Orthopedic Surgery 9032576665 Reassigns benefits to 1 organization

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
Opa Ortho PLLCGroup PAC ID 7012371305, 42 clinicians

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 100Reported as group
Quality
68.57
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
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

OrganizationSpecialtyStatusNew patients
Opa Ortho PLLC Multi-Specialty CurrentSince Sep 16, 2024 Accepting new patients
Swedish Health Services Multi-Specialty PastSince Sep 8, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.