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

Peter Michael Badrov

Individual provider General Practice Physician · NPI 1255196820

Peter Michael Badrov is a General Practice Physician in Tacoma, Washington. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-0117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 9171778 (ID)

Record details

NPI number1255196820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

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