Individual provider Active NPI

Brendan John McCullough, MD

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1497954317
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C172351 Issued in CA
Practice address
2401 Shadelanders Drive
Walnut Creek, CA 94598
Phone
(425) 563-1500
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MEDS7777 AK
Neuroradiology Physician 2085N0700X MD60106629 WA
Diagnostic Radiology Physician 2085R0202X M-12499 ID
Neuroradiology Physician 2085N0700X MEDS7777 AK
Neuroradiology Physician 2085N0700X M-12499 ID
Diagnostic Radiology Physician 2085R0202X C172351 CA Primary
Diagnostic Radiology Physician 2085R0202X MD60106629 WA

Addresses

Primary practice location

2401 Shadelanders Drive
Walnut Creek, CA 94598

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 2

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 8

IdentifierTypeStateIssuer
0341837OtherWAL&I-SWEDISH RADIA EDMONDS
0341845OtherWAL&I-EVERGREEN RADIA
0404021OtherWAL&I-SEATTLE RADIOLOGY
1497954317MedicaidID
1613891MedicaidAK
0341836OtherWAL&I-RADIA KING COUNTY
2018524MedicaidWA
0317438OtherWAL&I-RADIA REST OF WA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, CA, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130705000351 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 4183864606 Reassigns benefits to 24 organizations
I20140905001843 ID Practitioner - Diagnostic Radiology 4183864606 Reassigns benefits to 1 organization
I20250203000840 CA Practitioner - Diagnostic Radiology 4183864606 Reassigns benefits to 3 organizations
I20250417000862 MI Practitioner - Diagnostic Radiology 4183864606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Washington School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Pet-CT Imaging at Swedish Cancer Institute LLCGroup PAC ID 5092736884, 14 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians
Public Hospital District No 4 King County WashingtonGroup PAC ID 6002700861, shared by 4 NPIs, 85 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

1221 Madison St
Suite 150
Seattle, WA 98104-1385
Phone (206) 215-6487

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

1600 E Jefferson St
Suite 203
Seattle, WA 98122-5644
Phone (425) 563-1500

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 563-1500

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

2838 109TH Ave SE
Bellevue, WA 98004-7537
Phone (541) 618-5800

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

550 17TH Ave
Suite 630
Seattle, WA 98122-5797
Phone (206) 320-2158

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MEDS7777AKMDNeuroradiology Physician
MD60106629WAMDNeuroradiology Physician
C172351CAMDDiagnostic Radiology Physician
M-12499IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Dec 30, 2024 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Public Hospital District No 4, King County Wa CurrentSince Jul 1, 2013 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 6, 2024 Accepting new patients
County of Santa Clara CurrentSince Dec 30, 2024 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 1, 2013 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 1, 2013 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Public Hospital District No 4 King County Washington Current Accepting new patients
Msu Health Care Inc. CurrentSince Mar 1, 2025 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Oct 11, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 19, 2024 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Sep 9, 2013 Accepting new patients
Pet-CT Imaging at Swedish Cancer Institute LLC Diagnostic Radiology CurrentSince Sep 6, 2024 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Oct 11, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 19, 2024 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Swedish Health Services CurrentSince Aug 27, 2020 Accepting new patients
Swedish Health Services CurrentSince Oct 7, 2019 Accepting new patients
Msu Health Care Inc CurrentSince Mar 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Oct 7, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jul 11, 2013 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Wenatchee Valley Hospital CurrentSince Oct 19, 2013 Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 56)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

510 8th Ave NE
Ste 110
Issaquah, WA 98029
Phone (425) 507-0810

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 7

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1497954317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SHADELANDERS DRIVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "425-563-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19020 33rd Ave W Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364748",
            "country_code": "US",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "BRENDAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "MEDS7777",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD60106629",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12499",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AK",
            "license": "MEDS7777",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ID",
            "license": "M-12499",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C172351",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60106629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-SWEDISH RADIA EDMONDS",
            "identifier": "0341837",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-EVERGREEN RADIA",
            "identifier": "0341845",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-SEATTLE RADIOLOGY",
            "identifier": "0404021",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497954317",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613891",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-RADIA KING COUNTY",
            "identifier": "0341836",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018524",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-RADIA REST OF WA",
            "identifier": "0317438",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.