Brandon Ellis Cooley

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8023 Issued in WA

Practice address

4100 Factoria Blvd SE Ste C
Bellevue, WA 98006-1262

Phone

(425) 747-7000

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Cooleys DDS PS

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1558478990
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366559718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FACTORIA BLVD SE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061262",
            "telephone_number": "425-747-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FACTORIA BLVD SE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061262",
            "telephone_number": "425-747-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "BRANDON",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Cook, LICSW
• Sarah Kasiah Cook
• Tessa Nicole Cooke, CN, LMHCA
• Julianne Cool, RD
• Aaron C Cooley
• Gary Gene Cooley
• Janine R Cooley, MD
• Cooleys DDS PS
• Jennifer Cooper
• Karen Cooper, LMHC

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.