ALEXANDER BRUNDAGE
NPI 1093570319
General Practice in Tacoma, WA

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since February 15, 2024PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3105 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alexander Brundage NPPES

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

ALEXANDER BRUNDAGE (NPI 1093570319) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (0101287548) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093570319

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameALEXANDER BRUNDAGE

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-3105

Phone(253) 968-3105

Sole ProprietorNo

Enumeration DateFebruary 15, 2024

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1093570319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101287548

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Brundage 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.