Healthcare Provider Details

I. General information

NPI: 1689134975
Provider Name (Legal Business Name): SARAH STAPLETON BERNARDS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 NE 128TH ST STE 100
KIRKLAND WA
98034-7208
US

IV. Provider business mailing address

11875 SE 4TH PL APT 701
BELLEVUE WA
98005-3523
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-4500
  • Fax:
Mailing address:
  • Phone: 206-419-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD61294953
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD61294953
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: