Individual provider Active NPI

Bradley Allen Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
National Provider Identifier
1336628486
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60897170 Issued in WA
Practice address
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone
(425) 502-3000
Fax
(425) 502-3589
NPI assigned
Aug 9, 2018
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60897170 WA Primary

Addresses

Primary practice location

11511 NE 10TH St
Bellevue, WA 98004-8578

Mailing address

11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219001347 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597000562 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
Paceline Anesthesia, PLLCGroup PAC ID 5799853099, 36 clinicians
Advanced Anesthesia Services PLLCGroup PAC ID 6608159017, 39 clinicians
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians
Evergreen Eye Anesthesia PLLCGroup PAC ID 7315317112, 14 clinicians

Practice addresses (Care Compare)

1135 116TH Ave NE
Suite 560
Bellevue, WA 98004-4631
Phone (425) 454-4768

1135 116TH Ave NE
Suite 570
Bellevue, WA 98004-4632
Phone (425) 451-7335

1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (800) 340-3595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Oct 10, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 7, 2020 Accepting new patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 7, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Feb 1, 2023 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Dec 19, 2020 Accepting new patients
Advanced Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2025 Accepting new patients

Locations (25 of 27)

1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644

1135 116th Ave NE
Ste 560
Bellevue, WA 98004
Phone (425) 467-0150

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

3726 Broadway
Ste 206
Everett, WA 98201
Phone (425) 374-5160

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000

1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363

1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

1145 Broadway
Seattle, WA 98122

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

Interoperability endpoints

  • Direct secure messaging: bjohnson2262053@wm.providencedirect.org

Organizations & group practices 10

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 1

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1336628486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 NE 10TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048578",
            "telephone_number": "425-502-3000",
            "fax_number": "425-502-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 NE 10TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048578",
            "telephone_number": "425-502-3000",
            "fax_number": "425-502-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60897170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.