Active NPI
Bradley Harris, M.D.
- Internal Medicine Physician
- Seattle, WA
National Provider Identifier
1962479154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00015915
- Practice address
- 904 7TH Ave
Seattle, WA 98104-1132 - Phone
- (206) 329-1760
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00015915 | WA | Primary |
Addresses
Primary practice location
904 7TH Ave
Seattle, WA 98104-1132
Mailing address
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 329-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1618206 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1962479154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 7TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041132",
"telephone_number": "206-329-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 7TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041132",
"telephone_number": "206-329-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BRADLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00015915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1618206",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.