NPIMap

Individual provider Active NPI

Brett Matthew Thorsten Flory, P.A.

  • Physician Assistant
  • Spanaway, WA
National Provider Identifier
1821498296
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60520518 Issued in WA
Practice address
225 176TH St S
Spanaway, WA 98387
Phone
(253) 459-7777
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OA60534015 WA
Physician Assistant 363A00000X PA186181 OR
Physician Assistant 363A00000X PA60520518 WA Primary

Addresses

Primary practice location

225 176TH St S
Spanaway, WA 98387

Mailing address

225 176TH St S
Spanaway, WA 98387-9201
Phone (253) 459-7777

Other practice location 1

108 NW Sisemore St
Bend, OR 97703-2869
Phone (541) 213-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150713002762 WA Practitioner - Physician Assistant 5395058838 Reassigns benefits to 2 organizations
I20180705001619 OR Practitioner - Physician Assistant 5395058838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA60534015WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physician Assistant CurrentSince Oct 19, 2015 Accepting new patients
Bend Memorial Clinic PC CurrentSince Aug 3, 2020 Accepting new patients
Daiya Healthcare PLLC CurrentSince Dec 15, 2025 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients
Multicare Health System CurrentSince Oct 19, 2015 Accepting new patients
Bend Memorial Clinic PC Emergency Medicine Past Accepting new patients
Icco, LLC Past Accepting new patients

Locations

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

815 SW Bond St
Bend, OR 97702
Phone (541) 382-4900

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

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

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

225 176th St S
Spanaway, WA 98387
Phone (253) 240-2130

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: bflory203536@direct.multicare.org
  • Direct secure messaging: bflory17509@directmsg.bmctotalcare.com

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1821498296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 176TH ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983879201",
            "telephone_number": "253-459-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 176TH ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "98387",
            "telephone_number": "253-459-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 NW Sisemore St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032869",
            "country_code": "US",
            "telephone_number": "541-213-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORY",
        "first_name": "BRETT",
        "middle_name": "MATTHEW THORSTEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OA60534015",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA186181",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60520518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

Verify at the official NPI Registry.