Individual provider Active NPI

Bryan Ager, MD

  • Radiation Oncology Physician
  • Spokane, WA
National Provider Identifier
1306231907
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD61047573 Issued in WA
Practice address
605 E Holland Ave Ste 100
Spokane, WA 99218-1246
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
Mar 31, 2015
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X MD61047573 WA Primary

Addresses

Primary practice location

605 E Holland Ave Ste 100
Spokane, WA 99218-1246

Mailing address

1950 Circle of Hope Dr
RM 1570
Salt Lake City, UT 84112-5500
Phone (801) 581-2396

Other practice location 1

401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-5700

Other practice location 2

1950 Circle Of Hope Dr
Rm 1570
Salt Lake City, UT 84112-5500
Phone (801) 581-2396

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bager520483@wm.providencedirect.org Direct
Direct Messaging Address bryan.ager@ccnw.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200610001224 WA Practitioner - Radiation Oncology 8426337619 Reassigns benefits to 1 organization
I20211008001100 ID Practitioner - Radiation Oncology 8426337619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

605 E Holland Ave
Suite 100
Spokane, WA 99218-1246
Phone (509) 228-1000

700 W Ironwood Dr
Suite 130
Coeur D Alene, ID 83814-4404
Phone (509) 228-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S CurrentSince Nov 29, 2021 Accepting new patients
Cancer Care Northwest Centers P S Radiation Oncology CurrentSince Nov 29, 2021 Accepting new patients

Locations

700 W Ironwood Dr
Ste 130
Coeur D Alene, ID 83814
Phone (208) 625-4700

1440 E Mullan Ave
Post Falls, ID 83854
Phone (208) 619-4100

101 W 8th Ave
#L3
Spokane, WA 99204

601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082

605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400

605 E Holland Ave
Ste 215
Spokane, WA 99218
Phone (509) 939-5656

910 W 5th Ave
Ste 102
Spokane, WA 99204
Phone (509) 228-1635

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

Interoperability endpoints

  • Direct secure messaging: bager520483@wm.providencedirect.org
  • Direct secure messaging: bryan.ager@ccnw.net

Organizations & group practices 2

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 4

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1306231907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 CIRCLE OF HOPE DR",
            "address_2": "RM 1570",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125500",
            "telephone_number": "801-581-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E HOLLAND AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181246",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Poplar St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622846",
            "country_code": "US",
            "telephone_number": "509-897-5700",
            "fax_number": "509-897-5705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Circle Of Hope Dr",
            "address_2": "Rm 1570",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841125500",
            "country_code": "US",
            "telephone_number": "801-581-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGER",
        "first_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD61047573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bager520483@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 W Poplar St",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.ager@ccnw.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "605 E Holland Ave Ste 100",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992181246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.