Brian Ullom

Pediatrics | Male

Brian Ullom is a Wapato, Washington based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Brian Ullom is 620 W 1st St, Wapato, Washington - 98951-1108. He can be contacted on phone at 509-877-4111 and fax number 509-877-7349. Brian Ullom is a sole proprietor of his business.
NPI number (Unique professional ID) for Brian Ullom is 1508952797 which was assigned by NPPES on 05 Oct, 2006 and it was last updated on 24 Mar, 2021. Brian Ullom license number is MD00032635 for Pediatrics (208000000X) in Washington.
Brian Ullom is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Brian Ullom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Brian Ullom
Gender :Male
Business Address:
Brian Ullom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :620 W 1st St
Wapato, WA, 98951-1108
United States
Phone Number :509-877-4111
Fax Number :509-877-7349
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1508952797
NPI Entity Type : Individual
First Enrolment Date : 05 Oct, 2006
Last Updated On : 24 Mar, 2021
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Ullom are as mentioned. Primary taxonomy code for Brian Ullom is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesMD00032635WA
Legacy Identifiers:
Other legacy medical identifiers of Brian Ullom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
8180184OtherWACHPW
8180184MEDICAIDWA
911019392OtherCOMMERCIAL
6730OtherGROUP HEALTH
UL4310OtherWAREGENCE
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
bullom4934@yvfwc.direct-ci.com

YVFWC Direct Email Address
No affiliationDIRECT
Direct
OTHER
Other
CCDA
620 W 1ST ST,
WAPATO, WA, 98951-1108
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :620 W 1st St
Wapato, WA, 98951-1108
United States
Phone Number :509-877-4111
Fax Number :509-877-7349
Business Location:
Patients can refer following map for directions to Brian Ullom practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.