Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandi Jo Boden, DO

Individual provider Family Medicine Physician · NPI 1023676541

Brandi Jo Boden, DO is a Family Practice in Bonney Lake, Washington. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2019, 7 years ago. Practices with South Hill Family Medicine PC, a 66-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
WA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10004 204th Ave E Fl 3
Bonney Lake, WA 98391-6539
Phone: (253) 848-5951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP61187255 (WA)

Record details

NPI number1023676541
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address2904 4th Ave Ne, Puyallup, WA 98372-7053

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice South Hill Family Medicine Pc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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