OrganizationActive
Eastside Endocrinology and Diabetes, Ps
NPI 1861493272 · Endocrinology, Diabetes & Metabolism Physician · Bellevue, WA
Provider details
- NPI number
- 1861493272
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Wallum, Owner(425) 453-9762
- License
- MD00024156 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2020 116th Ave Ne
Suite 150
Bellevue, WA 98004-3059
Phone: (425) 453-9762
Fax: (425) 455-5953
Approximate (ZIP-level) locationGet directions
Mailing address
2020 116th Ave Ne
Bellevue, WA 98004-3059
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2010-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.