Provider Demographics
NPI:1629283148
Name:JONES, BRIAN DAVID (DO)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:DAVID
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:16259 SYLVESTER RD SW
Practice Address - Street 2:SUITE 501
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3049
Practice Address - Country:US
Practice Address - Phone:206-243-1100
Practice Address - Fax:206-431-0835
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101016506207X00000X
ORDO151061207X00000X
WAOP60222153207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01124535OtherMEDICARE RR
WA0283215OtherLABOR AND INDUSTRIES
WAG8902474OtherMEDICARE PTAN