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Eastside Endocrinology and Diabetes, Ps

Endocrinology, Diabetes & Metabolism Physician in Bellevue, WA · enumerated 2005 · authorized official Bradley Wallum, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861493272

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Endocrinology and Diabetes, Ps
Practice address 2020 116th Ave Ne, Suite 150, Bellevue, WA, 98004
Phone (425) 453-9762
Fax (425) 455-5953
Enumeration date Aug 9, 2005
Last updated in NPPES Jan 15, 2010

Taxonomy & classification

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License MD00024156 (WA) Primary

Authorized official

Name Bradley Wallum
Title Owner
Phone (425) 453-9762

Other identifiers

Identifier Type State Issuer
1022656 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Eastside Endocrinology and Diabetes, Ps located?
The practice location on file with NPPES is in Bellevue, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-15.