MR. BRANDON TRENT BROADY LMP
NPI 1043361900
Specialist in Lynnwood, WA

Q: What is Brandon Broady's NPI number?

The NPI number for Brandon Broady is 1043361900. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Brandon Broady's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Broady was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2007

3501 SHELBY RD. SUITE C, LYNNWOOD, WA 98087(425) 745-9052(425) 745-3372 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Brandon Trent Broady Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRANDON TRENT BROADY LMP (NPI 1043361900) is an individual specialist in Lynnwood, Washington, licensed in Washington (MA00018093) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1043361900

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. BRANDON TRENT BROADYCredential: LMP

Location Address3501 SHELBY RD. SUITE CLynnwood, WA 98087

Mailing Address2620 Center RdEverett, WA 98204-4758 · (425) 290-6024 · Fax (425) 290-8016

Phone(425) 745-9052

Fax(425) 745-3372

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043361900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MA00018093

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3501 SHELBY RD. SUITE C, Lynnwood, WA 98087

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Broady's NPI number?

The NPI number for Brandon Broady is 1043361900. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Brandon Broady located?

Brandon Broady practices at 3501 Shelby Rd. Suite C, Lynnwood, WA 98087. The listed phone number is (425) 745-9052.

What is Brandon Broady's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brandon Broady was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.