Bradley Wayne Hudec, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00018233 Issued in WA

Practice address

4320 196TH St SW Ste D
Lynnwood, WA 98036-6753

Phone

(425) 774-8758

Fax

(425) 672-8944

NPI assigned

Nov 9, 2007

Last updated

Jan 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1497935175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 259TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982924919",
            "telephone_number": "360-629-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 196TH ST SW STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366753",
            "telephone_number": "425-774-8758",
            "fax_number": "425-672-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEC",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Sage Howell, CO 61403662
• Chun-Ying Hsu
• Dayana H Huayana Montoya
• Leslie Hubbard, RN
• Tara Lynne Hubbell, LMP
• Heather Hudson, RN
• Lilliana Cheyenne Hudson
• Thesa Hudson
• Eric Gordon Huffman, MSW, LICSW
• Lisa Ann Hufford, LMP

• Family Medicine Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.