Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corbin James Brokaw, PA-C

Individual provider Surgical Physician Assistant · NPI 1982189023

Corbin James Brokaw, PA-C is a Physician Assistant in Seattle, Washington. Qualified in 2018, 8 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2409 N 45th St
Seattle, WA 98103-6907
Phone: (206) 633-8100
Fax: (206) 633-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5300 Tallman Ave Nw, Seattle, WA 98107-3932 — (206) 782-2700

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60899309 (WA)

Record details

NPI number1982189023
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESOctober 25, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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