Individual provider Active NPI

Sean Bradley, N.D., L.AC.

  • Naturopath
  • Kirkland, WA
National Provider Identifier
1376876177
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT 60071422 Issued in WA
Practice address
13501 100TH Ave NE
Suite 140
Kirkland, WA 98034-5236
Phone
(425) 820-1514
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 60083601 WA
Naturopath 175F00000X NT 60071422 WA Primary

Addresses

Primary practice location

13501 100TH Ave NE
Suite 140
Kirkland, WA 98034-5236

Mailing address

7564 NE 203Rd St
Kenmore, WA 98028-2078
Phone (970) 310-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 60083601WAMDAcupuncturist
NT 60071422WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1376876177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7564 NE 203RD ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282078",
            "telephone_number": "970-310-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 100TH AVE NE",
            "address_2": "SUITE 140",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345236",
            "telephone_number": "425-820-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SEAN",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60083601",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60071422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.