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

Dr. James Robert Fackelman, MD

Individual provider Internal Medicine Physician · NPI 1417939331

Dr. James Robert Fackelman, MD is an Internal Medicine Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10555 SE Carr Rd
Renton, WA 98055-5820
Phone: (425) 656-4270
Fax: (425) 656-4271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD00024483 (WA)

Record details

NPI number1417939331
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESSeptember 25, 2012
Mailing addressPo Box 34876, Seattle, WA 98124-1876

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