DEXTER LOCKWOOD GUDDLEBROOK MD, MPH
NPI 1083401368
Student in an Organized Health Care Education/Training Program in Olympia, WA

Active since April 21, 2025PECOS Enrolled
525 LILLY RD NE, OLYMPIA, WA 98506(360) 493-7525 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dexter Lockwood Guddlebrook Md, Mph NPPES

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

DEXTER LOCKWOOD GUDDLEBROOK MD, MPH (NPI 1083401368) is an individual student in an organized health care education/training program in Olympia, Washington and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1083401368
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEXTER LOCKWOOD GUDDLEBROOKCredential: MD, MPH
Location Address525 LILLY RD NEOlympia, WA 98506-5101
Mailing Address525 Lilly Rd NeOlympia, WA 98506-5101 · (360) 493-7525
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1083401368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

525 LILLY RD NE, Olympia, WA 98506

Other Names 1

Former Name (1)Dexter Lockwood Gulick

Secondary Practice Location 1

Location 1413 Lilly Rd NEOlympia, WA 98506-5133 · Phone (360) 493-7525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dexter Lockwood Guddlebrook Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine (Adolescent Medicine)
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Nurse Practitioner
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Pharmacist
525 LILLY RD NE
OLYMPIA, WA 98506

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 Dexter Guddlebrook's NPI number?

The NPI number for Dexter Guddlebrook is 1083401368. It was assigned to this individual provider in the NPPES registry on April 21, 2025. The provider is also known as Dexter Lockwood Gulick.

Where is Dexter Guddlebrook located?

Dexter Guddlebrook practices at 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-7525.

What is Dexter Guddlebrook's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dexter Guddlebrook enrolled in Medicare?

Yes. Dexter Guddlebrook is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dexter Guddlebrook was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.