Brad Goldworm, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10004755 Issued in WA

Practice address

2950 Limited LN NW
Olympia, WA 98502-4577

Phone

(360) 252-9777

NPI assigned

Jan 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Sound Pain Alliance

  • Pain Medicine Physician
  • Bellingham, WA
  • NPI 1649776394

  WA

  Medicare reassignment Care Compare group NPD
• Wenatchee Valley Hospital

  • Multi-Specialty Clinic/Center
  • Wenatchee, WA
  • NPI 1669719688

  WA

  Medicare reassignment NPD
• Sound Pain Alliance

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1457695116
  Care Compare group NPD
• Sound Pain Alliance

  • Pain Clinic/Center
  • Corvallis, OR
  • NPI 1437893286
  Care Compare group NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Kyle, SD
  • NPI 1003963497

  TX

  Medicare reassignment
• Sound Pain Alliance

  • Ambulatory Surgical Clinic/Center
  • Tukwila, WA
  • NPI 1518354752
  Care Compare group NPD (past)
• Sound Pain Alliance

  • Pain Clinic/Center
  • Burlington, WA
  • NPI 1538405709
  Care Compare group NPD (past)
• Sound Pain Alliance

  • Pain Clinic/Center
  • Lakewood, WA
  • NPI 1053431684
  Care Compare group
• Sound Pain Alliance

  • Ambulatory Surgical Clinic/Center
  • Tukwila, WA
  • NPI 1104602846
  Care Compare group
• Sound Pain Alliance

  • Pain Clinic/Center
  • Gig Harbor, WA
  • NPI 1134891963
  Care Compare group
• Sound Pain Alliance

  • Pain Clinic/Center
  • Covington, WA
  • NPI 1306218284
  Care Compare group
• Sound Pain Alliance

  • Pain Clinic/Center
  • Bonney Lake, WA
  • NPI 1306411277
  Care Compare group

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1295889087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34584",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241584",
            "telephone_number": "509-241-7349",
            "fax_number": "509-241-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 LIMITED LN NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024577",
            "telephone_number": "360-252-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWORM",
        "first_name": "BRAD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004755",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8446841",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Goforth
• Gary R Goin, MD
• Thomas W Golden, MD
• Suzanne E Goldman, APRN
• Deana Lee Goldsby, LMP
• Chelsea Rae Golias, CDPT
• Kara Gollehon, RN, BSN
• Bradford Thomas Gomez, DPT
• Jaime Gomez
• Mikel Ray Gomez, M.D.

• All providers in Olympia, WA
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.