P Kaye Brundidge, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00045181 Issued in WA

Practice address

3100 Carillon PT
Kirkland, WA 98033-7306

Phone

(425) 576-1700

Fax

(425) 650-9925

NPI assigned

Aug 8, 2006

Last updated

Sep 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cascade Hernia and Surgical Solutions PS

  • Surgery Physician
  • Puyallup, WA
  • NPI 1174725402
  Medicare reassignment NPD
• Providence Wa Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Everett, WA
  • NPI 1669615894
  Medicare reassignment NPD
• Cascade Hernia and Surgical Solutions PS

  dba Meridian Surgical Services

  • Surgery Physician
  • Puyallup, WA
  • NPI 1477616936
  NPD
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  dba Premier Anesthesia of Richland

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253
  NPD (past)
• Yakima Hma Physician Management LLC

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1730139510

  Anesthesiology

  NPD (past)
• Mid-America Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Columbia, MO
  • NPI 1083728463
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1366452765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407A 33RD AVENUE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "714-296-6377",
            "fax_number": "425-650-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337306",
            "telephone_number": "425-576-1700",
            "fax_number": "425-650-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDIDGE",
        "first_name": "P",
        "middle_name": "KAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00045181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8430720",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN PTAN",
            "identifier": "G8923419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyron L Brown
• Angelika Browning, LMP
• Bruce a Rolfe, MD (KneeFootAnkleCenter)
• Bruce Neu, M.D., Inc., P.S.
• Mary N Brumfiel, M.D.
• Christopher Brunken
• Marisa Bruzzone, LMP
• Emily Bryant
• Jessica Allison Brzana, MD
• Stacey Emi Nakasone Buck, MSW, LASW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.