CARDIOVASCULAR CONSULTANTS

Provider Demographics

• NPI: 1811967144
• Name: CARDIOVASCULAR CONSULTANTS
• Entity type: Organization
• Organization Name: CARDIOVASCULAR CONSULTANTS
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - Prefix: MR
• Authorized Official - First Name: JEFF
• Authorized Official - Middle Name: D
• Authorized Official - Last Name: BRANDT
• Authorized Official - Phone: 253-939-1230
• Mailing Address - Street 1: 202 N DIVISION ST
• Mailing Address - Street 2: PLAZA 2 SUITE 201
• Mailing Address - City: AUBURN
• Mailing Address - State: WA
• Mailing Address - Zip Code: 98001-4939
• Mailing Address - Country: US
• Mailing Address - Phone: 253-939-1230
• Mailing Address - Fax: 253-735-6479
• Practice Address - Street 1: 202 N DIVISION ST
• Practice Address - Street 2: PLAZA 2 SUITE 201
• Practice Address - City: AUBURN
• Practice Address - State: WA
• Practice Address - Zip Code: 98001-4939
• Practice Address - Country: US
• Practice Address - Phone: 253-939-1230
• Practice Address - Fax: 253-735-6479
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-01-26
• Last Update Date: 2020-08-22

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WA	I03657	Medicare UPIN
WA	8804801	Medicare ID - Type Unspecified
WA	P57880	Medicare UPIN
WA	G56855	Medicare UPIN
WA	H18157	Medicare UPIN
WA	G81255	Medicare UPIN
WA	AB06124	Medicare ID - Type Unspecified
WA	S53755	Medicare UPIN
WA	8802794	Medicare ID - Type Unspecified
WA	A06435	Medicare UPIN
WA	109072	Medicare ID - Type Unspecified
WA	A05870	Medicare UPIN
WA	AB01634	Medicare ID - Type Unspecified
WA	F16436	Medicare UPIN
WA	GAB28744	Medicare ID - Type Unspecified
WA	AB23759	Medicare ID - Type Unspecified