Individual provider Active NPI

Brad R Ballard, MD

  • Ophthalmology Physician
  • Portsmouth, VA
National Provider Identifier
1437386737
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61561497 Issued in WA
Practice address
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone
(301) 400-1339
NPI assigned
Jun 15, 2009
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD61561497 WA Primary
Ophthalmology Physician 207W00000X 56524 CO

Addresses

Primary practice location

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708

Mailing address

5821 S Sprague CT
Tacoma, WA 98409-6903
Phone (800) 664-9225

Other identifiers 1

IdentifierTypeStateIssuer
25936OtherNESTATE LICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WA2 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
I20240213000770 VA Practitioner - Ophthalmology 3173743242 Reassigns benefits to 2 organizations
I20250325001465 WA Practitioner - Ophthalmology 3173743242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5821 S Sprague CT
Tacoma, WA 98409-6903
Phone (253) 396-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56524COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Nov 24, 2025 Accepting new patients
David M Harman MD LLC Ophthalmology CurrentSince Feb 1, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Nov 24, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 4, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Mountain Empire Eye Physicians PLLC Ophthalmology CurrentSince Feb 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 4, 2025 Accepting new patients

Locations

800 Memorial Dr
Ste A
Danville, VA 24541
Phone (434) 799-3232

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

1613 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 229-4000

224 Clay Dr
Pounding Mill, VA 24637
Phone (229) 395-9181

2010 Bremo Rd
Ste 128A
Richmond, VA 23226
Phone (804) 285-0680

5215 Monticello Ave
Ste A
Williamsburg, VA 23188
Phone (757) 229-1440

137 Plaza Rd
Wise, VA 24293
Phone (276) 679-5612

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

5821 S Sprague Ct
Tacoma, WA 98409
Phone (253) 396-4200

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Interoperability endpoints

  • Direct secure messaging: bballard4567363@ghc.direct-ci.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1437386737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 S SPRAGUE CT",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096903",
            "telephone_number": "800-664-9225",
            "fax_number": "253-396-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "301-400-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BRAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61561497",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "56524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "25936",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5821 S Sprague Ct",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984096903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.