Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BROCK BRANDON WEEDMAN PSY D
NPI 1558346502
Psychologist in Bellevue, WA

Active since December 13, 2005PECOS Enrolled
2820 NORTHUP WAY, SUITE 105, BELLEVUE, WA 98004(425) 213-2848(425) 576-0654 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brock Brandon Weedman Psy D NPPES

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

DR. BROCK BRANDON WEEDMAN PSY D (NPI 1558346502) is an individual psychologist in Bellevue, Washington, licensed in Washington (PY00003318) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1558346502
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BROCK BRANDON WEEDMANCredential: PSY D
Location Address2820 NORTHUP WAY, SUITE 105Bellevue, WA 98004-1419
Mailing Address2820 Northup Way, Suite 105Bellevue, WA 98004-1419 · (425) 213-2848 · Fax (425) 576-0654
Fax(425) 576-0654
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 13, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1558346502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY00003318
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

2820 NORTHUP WAY, Bellevue, WA 98004

Other Identifiers 1

Other8902991WA · Crime Victims

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brock Brandon Weedman Psy D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315945037
PECOS Enrollment IDI20061113000398
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 12

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

Psychologist
2820 NORTHUP WAY, SUITE 250
BELLEVUE, WA 98004
Psychologist
2820 NORTHUP WAY, SUITE 250
BELLEVUE, WA 98004
Psychiatry & Neurology (Psychiatry)
2820 NORTHUP WAY, 105
BELLEVUE, WA 98004
Psychologist
2820 NORTHUP WAY, SUITE 105
BELLEVUE, WA 98004
Psychologist
2820 NORTHUP WAY, SUITE 105
BELLEVUE, WA 98004
Social Worker
2820 NORTHUP WAY
BELLEVUE, WA 98004
Counselor (Mental Health)
2820 NORTHUP WAY
BELLEVUE, WA 98004
Social Worker
2820 NORTHUP WAY
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558346502, enumerated as an "individual" on December 13, 2005.

The provider is located at 2820 NORTHUP WAY SUITE 105 BELLEVUE, WA 98004 and the phone number is (425) 213-2848.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.