MARK W BRADFORD MD INC PS
NPI 1619241346
Clinic/Center in Olympia, WA

Active since February 27, 2012
3624 ENSIGN RD NE STE D, OLYMPIA, WA 98506(360) 459-7713(360) 459-5441 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark W Bradford Md Inc Ps NPPES

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

MARK W BRADFORD MD INC PS (NPI 1619241346) is a healthcare organization registered as a clinic/center in Olympia, Washington and active in the NPI registry since February 2012. The organization lists Mark Wayne Bradford, President, as its authorized official.

NPPES Registry Identity

NPI1619241346
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARK W BRADFORD MD INC PS
Location Address3624 ENSIGN RD NE STE DOlympia, WA 98506-5074
Mailing Address3624 Ensign Rd Ne Ste DOlympia, WA 98506-5074 · (360) 459-7713 · Fax (360) 459-5441
Fax(360) 459-5441
Organization SubpartNo
Authorized OfficialMark Wayne BradfordPresident · (360) 459-7713
Enumeration DateFebruary 27, 2012
NPI 1619241346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in WA · MD0019897
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3624 ENSIGN RD NE STE D, Olympia, WA 98506

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Medical Specialty)
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Social Worker (Clinical)
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Social Worker (Clinical)
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Specialist
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Specialist
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Social Worker (Clinical)
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Nurse Practitioner (Psychiatric/Mental Health)
3624 ENSIGN RD NE STE D
OLYMPIA, WA 98506
Family Medicine
3624 ENSIGN RD NE STE D
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 Mark W Bradford MD Inc Ps's NPI number?

The NPI number for Mark W Bradford MD Inc Ps is 1619241346. It was assigned to this organization in the NPPES registry on February 27, 2012.

Where is Mark W Bradford MD Inc Ps located?

Mark W Bradford MD Inc Ps is located at 3624 Ensign Rd NE Ste D, Olympia, WA 98506. The listed phone number is (360) 459-7713.

What is Mark W Bradford MD Inc Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mark W Bradford MD Inc Ps was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.