Gordon Brandt, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54864 Issued in CA

Practice address

790 Kalmia CT NW
Issaquah, WA 98027-2609

Phone

(425) 301-9929

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1891182705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 KALMIA CT NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272609",
            "telephone_number": "425-301-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 KALMIA CT NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272609",
            "telephone_number": "425-301-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anjela Bradstreet
• Anthony K Branch, LMHC
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• Alyssa Brent
• Mark Franklin Bressler, MD
• Abigail Brewster

• Internal Medicine Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.