Individual provider Active NPI

Bradley Tymchuk, M.D.

  • Internal Medicine Physician
  • Hermiston, OR
National Provider Identifier
1437503380
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD189774 Issued in OR
Practice address
620 NW 11TH St Ste M103
Hermiston, OR 97838-6941
Phone
(509) 820-7845
Fax
(541) 303-8763
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD189774 OR Primary

Addresses

Primary practice location

620 NW 11TH St Ste M103
Hermiston, OR 97838-6941

Mailing address

620 NW 11TH St Ste M103
Hermiston, OR 97838-6941
Phone (541) 667-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, 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
I20190904000675 OR Practitioner - Internal Medicine 7012298854 Reassigns benefits to 2 organizations
I20251212002980 WA Practitioner - Internal Medicine 7012298854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26522 La Alameda
Suite 380
Mission Viejo, CA 92691-6330

3121 Leslie Rd
Suite 122
Richland, WA 99352-8753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD189774ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Jul 6, 2019 Accepting new patients
Goat Medical LLC Internal Medicine CurrentSince Oct 14, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Jul 6, 2019 Accepting new patients

Locations

620 NW 11th St
Ste M201
Hermiston, OR 97838

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

620 NW 11th St
Ste M103
Hermiston, OR 97838
Phone (541) 667-3830

3121 Leslie Rd
Ste 122
Richland, WA 99352
Phone (509) 396-3242

Interoperability endpoints

  • Direct secure messaging: btymchuk318691@direct.lhs.org

Organizations & group practices 3

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.

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1437503380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M103",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3797",
            "fax_number": "541-303-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M103",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "509-820-7845",
            "fax_number": "541-303-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMCHUK",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD189774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.