Bradley W Kirschner, M.D.
Individual provider Active NPI Pediatrics Physician · Tacoma, WA
NPI 1528038569 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1528038569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD60659908 (WA)
- Practice address
- 1628 S Mildred St Ste 101
Tacoma, WA 98465-1628 - Phone
- (253) 383-5777
- Fax
- (253) 627-0855
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20201105001913 | WA | Practitioner - Pediatric Medicine | 0446205769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Multicare Health System | Past | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1628 S Mildred St
Ste 101
Tacoma, WA 98465
Phone (253) 383-5777
316 S K St
Ste 212
Tacoma, WA 98405
Phone (253) 383-5777
Interoperability endpoints
- bkirschner225712@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60659908 | WA | Yes |
Addresses
Primary practice location
1628 S Mildred St Ste 101
Tacoma, WA 98465-1628
Mailing address
316 Martin L King Jr Way Ste 212
Tacoma, WA 98405-4254
Phone (253) 383-5777
Other providers in Tacoma, WA
- Kirkpatrick Psychology Services Inc PS
- Neil McKennon Kirkpatrick
- Ashton Moriah Kirks
- Kenneth J Kirkwood
- James Louis Kirsch
- Kirstin B Kirschner
- Thalia Malinali Kirst
- Karen Kirsten
- Beyla Kisembo
- Elaine Catherine Kiser-Rude
All providers in Tacoma, WA · Pediatrics 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 Jul 21, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.