Basic Information
| Provider Information | |||||||||
| NPI: | 1891991667 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FEIG | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | BRIAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9800 4TH AVE NE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981152152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063021200 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9800 4TH AVE NE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981152152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063021200 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2007 | ||||||||
| LastUpdateDate: | 04/05/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 273253 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | CDR.0000270 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD181573 | OR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD16339 | RI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 57848 | AZ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | C165204 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD.37731 | AL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 317-320 | WI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 18525 | NV | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD-45832 | IA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 64885 | MN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QS0010X | MD00048500 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | 207Q00000X | MD00048500 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8493215 | 05 | WA | MEDICAID | P00444825 | 01 | WA | RAILROAD MC # | OTHER | 4960FE | 01 | WA | BLUE SHIELD # | OTHER |