Provider Demographics
NPI:1073678819
Name:ROLFE, BRUCE ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ARTHUR
Last Name:ROLFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 NE 1ST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3049
Mailing Address - Country:US
Mailing Address - Phone:425-417-7069
Mailing Address - Fax:
Practice Address - Street 1:12303 NE 130TH LN STE 220
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3060
Practice Address - Country:US
Practice Address - Phone:425-899-6060
Practice Address - Fax:425-899-6078
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00029212207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAR08246OtherREGENCE BLUESHIELD
WAP00407957OtherRAILROAD MEDICARE
WA8134132Medicaid
WA8134132Medicaid
WA8867801Medicare PIN
WAR08246OtherREGENCE BLUESHIELD