Brent M Sanders, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00008118 Issued in WA

Practice address

2607 Bridgeport Way West
Suite 1a
University Place, WA 98466-4725

Phone

(253) 564-2353

Fax

(253) 565-1286

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1679504567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY WEST",
            "address_2": "SUITE 1A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-564-2353",
            "fax_number": "253-565-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY WEST",
            "address_2": "SUITE 1A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-564-2353",
            "fax_number": "253-565-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00008118",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlin K Sakata, DMD
• Elyse Salonka
• Sarah Salvador, PTA
• Moniecea G Sanchez
• Sand Dollar Spa & Massage
• Robin Sanks
• Laural Janet Schaberg, ARNP
• Rebecca Jane Schiltz, LMFT
• Margaret Ann Schmidt, MA
• Paul William Schmidt, DO

• Specialist in University Place, WA
• Providers in University Place, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.