EASTSIDE ENDOCRINOLOGY AND DIABETES, PS
NPI 1861493272
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bellevue, WA

Active since August 09, 2005
2020 116TH AVE NE, SUITE 150, BELLEVUE, WA 98004(425) 453-9762(425) 455-5953 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Endocrinology And Diabetes, Ps NPPES

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

EASTSIDE ENDOCRINOLOGY AND DIABETES, PS (NPI 1861493272) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Bellevue, Washington and active in the NPI registry since August 2005. The organization lists Bradley Joy Wallum, Owner, as its authorized official.

NPPES Registry Identity

NPI1861493272
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameEASTSIDE ENDOCRINOLOGY AND DIABETES, PS
Location Address2020 116TH AVE NE, SUITE 150Bellevue, WA 98004-3059
Mailing Address2020 116th Ave Ne, Suite 150Bellevue, WA 98004-3059 · (425) 453-9762 · Fax (425) 455-5953
Fax(425) 455-5953
Organization SubpartNo
Authorized OfficialBradley Joy WallumOwner · (425) 453-9762
Enumeration DateAugust 9, 2005
Last NPPES UpdateJanuary 15, 2010
NPI 1861493272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in WA · MD00024156
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2020 116TH AVE NE, Bellevue, WA 98004

Other Identifiers 3

Medicare UPINA14887
Medicaid1022656WA
Medicare ID-Type UnspecifiedAB10319WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2020 116TH AVE NE, SUITE 100
BELLEVUE, WA 98004
Optometrist
2020 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Optometrist
2020 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004

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 Eastside Endocrinology And Diabetes, Ps's NPI number?

The NPI number for Eastside Endocrinology And Diabetes, Ps is 1861493272. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Eastside Endocrinology And Diabetes, Ps located?

Eastside Endocrinology And Diabetes, Ps is located at 2020 116th Ave NE Suite 150, Bellevue, WA 98004. The listed phone number is (425) 453-9762.

What is Eastside Endocrinology And Diabetes, Ps's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Eastside Endocrinology And Diabetes, Ps was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.