Individual provider Active NPI

Bradley W Kirschner, M.D.

  • Pediatrics Physician
  • Tacoma, WA
National Provider Identifier
1528038569
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60659908 Issued in 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
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD60659908 WA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201105001913 WA Practitioner - Pediatric Medicine 0446205769 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 1, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 1, 2020 Accepting new patients
Multicare Health System Past Accepting new patients
The Medical College of Wisconsin, Inc. Past Accepting new patients
Childrens Medical Group Inc Pediatrics 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

  • Direct secure messaging: bkirschner225712@direct.multicare.org

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, 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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528038569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MARTIN L KING JR WAY STE 212",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054254",
            "telephone_number": "253-383-5777",
            "fax_number": "253-627-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S MILDRED ST STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651628",
            "telephone_number": "253-383-5777",
            "fax_number": "253-627-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60659908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.