EASTSIDE ENDOCRINOLOGY AND DIABETES, PS – Endocrinology, Diabetes & Metabolism Physician, NPI 1861493272

EASTSIDE ENDOCRINOLOGY AND DIABETES, PS is a healthcare provider. based in Bellevue, Washington. specializing in Endocrinology, Diabetes & Metabolism Physician. The organization holds a License No. MD00024156 (WA). The NPI Number for EASTSIDE ENDOCRINOLOGY AND DIABETES, PS is 1861493272

Main info

Organization
Name
EASTSIDE ENDOCRINOLOGY AND DIABETES, PS
NPI
1861493272
Phone
(425) 453-9762
Address
2020 116TH AVE NE
Authorized Official
DR. BRADLEY JOY WALLUM OWNER MD
Enumeration Date
9 August 2005
Last Update Date
15 January 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for EASTSIDE ENDOCRINOLOGY AND DIABETES, PS

  • 2020, 116th Avenue Northeast, Northup, Bellevue, King County, Washington, 98004, United States

    SUITE 150

    BELLEVUE, WA 980043059

    Phone: (425) 453-9762

    Fax: (425) 455-5953

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98004)

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Reviews

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Frequently asked questions

What is the standard ID for EASTSIDE ENDOCRINOLOGY AND DIABETES, PS in the U.S.?
In the U.S., EASTSIDE ENDOCRINOLOGY AND DIABETES, PS is identified by NPI 1861493272.
Quick check: is EASTSIDE ENDOCRINOLOGY AND DIABETES, PS active?
Public NPPES data shows EASTSIDE ENDOCRINOLOGY AND DIABETES, PS with an active NPI status right now.
What does the directory say EASTSIDE ENDOCRINOLOGY AND DIABETES, PS does?
Insurance directories may phrase it differently, but here EASTSIDE ENDOCRINOLOGY AND DIABETES, PS maps to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What city is tied to EASTSIDE ENDOCRINOLOGY AND DIABETES, PS?
The directory associates EASTSIDE ENDOCRINOLOGY AND DIABETES, PS with Bellevue, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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