Healthcare Provider Details

I. General information

NPI: 1730343823
Provider Name (Legal Business Name): RORY D BRADT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 BARKLEY BLVD STE 105
BELLINGHAM WA
98226-6614
US

IV. Provider business mailing address

3610 MERIDIAN ST
BELLINGHAM WA
98225-1732
US

V. Phone/Fax

Practice location:
  • Phone: 360-671-3345
  • Fax: 360-650-1354
Mailing address:
  • Phone: 360-318-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP60262342
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: