Provider Demographics
NPI:1124037817
Name:NEWMAN, BRENDA L (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:L
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7707 SE 27TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2844
Mailing Address - Country:US
Mailing Address - Phone:206-232-2267
Mailing Address - Fax:
Practice Address - Street 1:7707 SE 27TH ST STE 104
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2844
Practice Address - Country:US
Practice Address - Phone:206-232-2267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046919207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology