Peter Bolek Brant-Zawadzki, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD60222893 Issued in WA

Practice address

1330 Rockefeller
Ste 520
Everett, WA 98201-1677

Phone

(425) 297-5200

Fax

(425) 297-5210

NPI assigned

Jun 29, 2007

Last updated

Feb 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Vascular Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
• Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
• Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment Care Compare group NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Kennewick, WA
  • NPI 1023932944
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Auburn, WA
  • NPI 1043365257
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-Cherry Hill

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1154476216
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1245385467
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bellingham, WA
  • NPI 1295145894
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-First Hill

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1295880433
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Ludlow, WA
  • NPI 1336019314
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bothell, WA
  • NPI 1619300308
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Angeles, WA
  • NPI 1639776842
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bothell, WA
  • NPI 1750436945
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Yakima, WA
  • NPI 1831245836
  NPD

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

• Providence Health & Services-Wa

  dba Providence Regional Medical Center Everett

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation
• Public Hospital Dist No 1 Skagit

  dba Skagit Valley Hospital

  • General Acute Care Hospital
  • Mount Vernon, WA
  • NPI 1053357244
  Care Compare affiliation
• Public Hospital Dist No 1 Skagit

  dba Cascade Valley Hospital

  • General Acute Care Hospital
  • Arlington, WA
  • NPI 1073566246
  Care Compare affiliation

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1215134697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "address_2": "PROVIDENCE HEALTH & SERVICES",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-366-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER",
            "address_2": "STE 520",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011677",
            "telephone_number": "425-297-5200",
            "fax_number": "425-297-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANT-ZAWADZKI",
        "first_name": "PETER",
        "middle_name": "BOLEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "54144231205",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD60222893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K. Branch
• Michelle Branch
• Matthew Robert Brandt, B.S.
• Patricia A Brandt, ARNP
• Temre Brandt
• Brittany Braun
• Kira Emily Duvall Braun, MSW
• Brave Space for Healing PLLC
• Charleen Renee Bray, AAC
• Samantha Bray

• Vascular Surgery Physician in Everett, WA
• Providers in Everett, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.

Verify at the official NPI Registry.