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

Timothy Brandt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083207740

Timothy Brandt is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Licensed in Nebraska. Registered with an NPI since 2021.

Licensed in
NE
In the registry since
2021
Specialties on file
2

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-2417
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 35510 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083207740
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2021
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

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