Individual provider Active NPI

Matthew Jason Bryson, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1053984310
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61224843 Issued in WA
Practice address
5555 14TH Ave NW Apt 303
Seattle, WA 98107-3395
Phone
(505) 350-9972
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA61224843 WA Primary

Addresses

Primary practice location

5555 14TH Ave NW Apt 303
Seattle, WA 98107-3395

Mailing address

5555 14TH Ave NW Apt 303
Seattle, WA 98107-3395
Phone (505) 350-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028001214 WA Practitioner - Physician Assistant 4486042215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1901 S Union Ave
Tacoma, WA 98405-1702

311 S L St
Tacoma, WA 98405-3720

3124 S 19TH St
Tacoma, WA 98405-2433

4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61224843WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 6, 2023 Accepting new patients
Multicare Health System CurrentSince Dec 6, 2023 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

3124 S 19th St
Ste C340
Tacoma, WA 98405
Phone (253) 459-7000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1053984310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 14TH AVE NW APT 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073395",
            "telephone_number": "505-350-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 14TH AVE NW APT 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073395",
            "telephone_number": "505-350-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "MATTHEW",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61224843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.