Individual provider Active NPI

Bradley J. Logston, D.O.

  • Obstetrics & Gynecology Physician
  • Pasco, WA
National Provider Identifier
1073752085
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP60219543 Issued in WA
Practice address
9613 Sandifur Pkwy Ste a
Pasco, WA 99301-8028
Phone
(509) 943-8839
Fax
(509) 943-8851
NPI assigned
Feb 13, 2009
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OP60219543 WA Primary

Addresses

Primary practice location

9613 Sandifur Pkwy Ste a
Pasco, WA 99301-8028

Mailing address

9613 Sandifur Pkwy Ste a
Pasco, WA 99301-8391
Phone (509) 943-8839

Other practice location 1

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-2555

Other identifiers 1

IdentifierTypeStateIssuer
2040768MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000333 WA Practitioner - Obstetrics/Gynecology 2365619434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Womens Health LLCGroup PAC ID 0941523302, 3 clinicians

Practice addresses (Care Compare)

9613 Sandifur Pkwy
Suite a
Pasco, WA 99301-8391
Phone (509) 943-8839

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Women's Health LLC Obstetrics & Gynecology CurrentSince Apr 15, 2013 Accepting new patients
Amg Primary Healthcare LLC Past Accepting new patients
RCCH Trios Health LLC Past Accepting new patients
Kadlec Regional Medical Center Past Accepting new patients

Locations

9613 Sandifur Pkwy
Ste A
Pasco, WA 99301
Phone (509) 943-8839

303 Bradley Blvd
Ste 202
Richland, WA 99352
Phone (509) 943-8839

Interoperability endpoints

  • Direct secure messaging: alliancemedgroup@ppdxdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1073752085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 SANDIFUR PKWY STE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018391",
            "telephone_number": "509-943-8839",
            "fax_number": "509-943-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 SANDIFUR PKWY STE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018028",
            "telephone_number": "509-943-8839",
            "fax_number": "509-943-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-942-2555",
            "fax_number": "509-942-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGSTON",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP60219543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.