IndividualActive
Brendon Moodley, DPM
NPI 1275566549 · Foot & Ankle Surgery Podiatrist · Redmond, WA
Provider details
- NPI number
- 1275566549
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- PO3187 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
8980 161st Ave Ne
Redmond, WA 98052
Phone: (425) 899-1115
Fax: (425) 899-1116
Approximate (ZIP-level) locationGet directions
Mailing address
19633 93rd Pl Ne
Bothell, WA 98011-2380
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2012-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.