Provider Demographics
NPI:1831266816
Name:BRAMMER, SHELBY (MD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:
Last Name:BRAMMER
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 1:100 1ST AVE S
Mailing Address - Street 2:UNIT 12
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2594
Mailing Address - Country:US
Mailing Address - Phone:206-405-4188
Mailing Address - Fax:
Practice Address - Street 1:100 1ST AVE S
Practice Address - Street 2:UNIT 12
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2594
Practice Address - Country:US
Practice Address - Phone:206-405-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00024338207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism