Active NPI
Bradley Dowd Pattison
- Anesthesiology Physician
- Tacoma, WA
National Provider Identifier
1760417505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00026746
- Practice address
- 1717 S J St
Tacoma, WA 98405-4933 - Phone
- (253) 627-4930
- Fax
- (253) 627-4649
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00026746 | WA | Primary |
Addresses
Primary practice location
1717 S J St
Tacoma, WA 98405-4933
Mailing address
8702 Goodman Dr NW
Gig Harbor, WA 98332-9573
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50124 | Other | L&I | |
| PA5879 | Other | B/S REGENCE 90 | |
| 1300367 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Medical Center | Past | Accepting new patients | |
| Tacoma Hyperbaric Billing, LLC | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Pacific Anesthesia PC | Anesthesiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- University Place, WA
- NPI 1639748882
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1497796452
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1831166354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760417505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8702 GOODMAN DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983329573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "253-627-4930",
"fax_number": "253-627-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTISON",
"first_name": "BRADLEY",
"middle_name": "DOWD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00026746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "50124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/S REGENCE 90",
"identifier": "PA5879",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300367",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.