Active NPI
Elliot Spencer Breshears, MD
- Diagnostic Radiology Physician
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61563986
- Practice address
- 533 S 336TH St Ste C
Federal Way, WA 98003-6329 - Phone
- (253) 661-1700
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD61563986 | WA | Primary |
Addresses
Primary practice location
533 S 336TH St Ste C
Federal Way, WA 98003-6329
Mailing address
PO Box 26730
Federal Way, WA 98093-3730
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
533 S 336TH St
Suite C
Federal Way, WA 98003-6329
Phone (253) 661-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61563986 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Radiology & Diagnostic Services, a Professional Services Corp | Diagnostic Radiology | Current | Accepting new patients |
Locations
533 S 336th St
Ste C
Federal Way, WA 98003
Phone (253) 661-4755
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Renton, WA
- NPI 1245230598
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Auburn Medical Center
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
dba MultiCare Covington Medical Center
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1104484278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26730",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980933730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 S 336TH ST STE C",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036329",
"telephone_number": "253-661-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESHEARS",
"first_name": "ELLIOT",
"middle_name": "SPENCER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61563986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.