Brazina, Bruce D

Brazina, Bruce D is an individual health care provider with primary practice located at 2901 Bridgeport Way W , University Place WA 98466-4614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Brazina, Bruce D can be contacted via phone (253) 534-7000.

Contact Information

Primary practice address
2901 Bridgeport Way W University Place WA 98466-4614
Phone: (253) 534-7000
Fax: (253) 534-7099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00016007 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD00016007 Washington

Profile Details

NPI number 1063442200
LBN Legal business name Brazina, Bruce D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063442200 NPPES
Washington Other 0199312 STATE L&I
Washington MEDICAID 1611201 STATE L&I

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