Patrick Nephi Bacon – Diagnostic Radiology Physician

Key facts

NPI: 1477866739
Entity type: Individual (NPI type 1)
Primary specialty: Diagnostic Radiology Physician 2085R0202X
License: MD60640217 (WA)
Practice address: 1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone: (253) 761-4200
NPI assigned: Jul 15, 2010
Sex: Male
Sole proprietor: No

Organizations & group practices 6

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.

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Radiology Clinic/Center · Tacoma, WA · NPI 1083802946

Medicare reassignment Care Compare group NPD WA
Tra-Minw P S Radiology Clinic/Center · Tacoma, WA · NPI 1396814166

Medicare reassignment Care Compare group NPD WA
Tra Medical Imaging Centers LLC Radiology Clinic/Center · Tacoma, WA · NPI 1447041751

Medicare reassignment NPD WA
Union Avenue Open MRI LLC Radiology Clinic/Center · Tacoma, WA · NPI 1568531242

Medicare reassignment NPD WA
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Radiology Clinic/Center · Bonney Lake, WA · NPI 1699063354

NPD
Tra-Minw P S Radiology Clinic/Center · Federal Way, WA · NPI 1184790032

NPD

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Enumclaw Regional Hospital Association Critical Access Hospital · Enumclaw, WA · NPI 1073674040

Care Compare affiliation Hospital
Franciscan Health System General Acute Care Hospital · Tacoma, WA · NPI 1124291117

Care Compare affiliation Hospital
Franciscan Health System Clinical Medical Laboratory · Tacoma, WA · NPI 1659585370

Care Compare affiliation Hospital
Franciscan Health System General Acute Care Hospital · Tacoma, WA · NPI 1952309098

Care Compare affiliation Hospital
Multicare Health System General Acute Care Hospital · Tacoma, WA · NPI 1366556227

Care Compare affiliation Hospital
Multicare Health System General Acute Care Hospital · Puyallup, WA · NPI 1841231461

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Diagnostic Radiology
Education: Saint Louis University School of Medicine, 2010
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Tra-Minw P S (152 clinicians)
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance (117 clinicians)

Practice addresses (Care Compare)

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 841-4353

222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353

Hospital & facility affiliations

St Elizabeth Hospital Hospital · Enumclaw, WA · CCN 501335
Tacoma General Allenmore Hospital Hospital · Tacoma, WA · CCN 500129
Multicare Good Samaritan Hospital Hospital · Puyallup, WA · CCN 500079
St Joseph Medical Center Hospital · Tacoma, WA · CCN 500108

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160719001483	WA	Practitioner - Diagnostic Radiology Practitioner - Other (Physician)	9032341292	Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
6467	NE	MD	Clinical Social Worker

Practice roles

Organization	Status	New patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance	Current since Jul 11, 2016	Accepting new patients
Union Avenue Open MRI LLC	Current since Jan 1, 2017	Accepting new patients
Tra Medical Imaging Centers LLC	Current since Dec 1, 2025	Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance	Current since Jul 11, 2016	Accepting new patients
Tra-Minw P S	Current since Jan 1, 2017	Accepting new patients
Tra-Minw P S	Current since Jan 1, 2017	Accepting new patients

Locations

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

222 15th Ave SE
Puyallup, WA 98372

1201 Pacific Ave
Ste 400
Tacoma, WA 98402
Phone (253) 300-8447

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099

Interoperability endpoints

FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Diagnostic Radiology Physician	2085R0202X	MD60640217	WA	Yes

Addresses

Primary practice location

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Mailing address

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other practice location 1

2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4653

Other identifiers

Identifier	Type	State	Issuer
2057248	Medicaid	WA

Other providers in Tacoma, WA

All providers in Tacoma, WA · Diagnostic Radiology Physician in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.