NPIMap

Individual provider Active NPI

Bradley Clifford Christ, MD

  • Orthopaedic Surgery Physician
  • Olympia, WA
National Provider Identifier
1659675684
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD60668500 Issued in WA
Practice address
3901 Capital Mall Dr SW
Ste a
Olympia, WA 98502-8654
Phone
(360) 491-8439
Fax
(360) 491-6328
NPI assigned
Jan 5, 2011
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60668500 WA Primary

Addresses

Primary practice location

3901 Capital Mall Dr SW
Ste a
Olympia, WA 98502-8654

Mailing address

PO Box 368
Olympia, WA 98507-0368
Phone (360) 491-8439

Other identifiers 1

IdentifierTypeStateIssuer
2063539MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160901002020 WA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2062708928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Southern California Keck School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 N 13TH St
Shelton, WA 98584-2077
Phone (360) 426-2653

615 Lilly Rd NE
Olympia, WA 98506-5117
Phone (360) 491-4211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60668500WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates PLLC CurrentSince Sep 20, 2016 Accepting new patients
Olympia Orthopaedic Associates, PLLC CurrentSince Sep 20, 2016 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince May 1, 2020 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince May 1, 2020 Accepting new patients

Locations

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Interoperability endpoints

  • Direct secure messaging: bradley.christ.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1659675684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368",
            "telephone_number": "360-491-8439",
            "fax_number": "360-491-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL MALL DR SW",
            "address_2": "STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "360-491-8439",
            "fax_number": "360-491-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIST",
        "first_name": "BRADLEY",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60668500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063539",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.