John Reese Bradburn

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60904634 Issued in WA

Practice address

817 Commercial St
Leavenworth, WA 98826-1316

Phone

(509) 548-5815

Fax

(509) 548-2510

NPI assigned

Jun 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Reese Bradburn Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chelan County Public Hospital District No. 1Group PAC ID 3971491234, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cascade Medical Center Hospital, Leavenworth, WA, CCN 501313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Chelan County Public Hospital District No. 1

  • Rural Acute Care Hospital
  • Leavenworth, WA
  • NPI 1962406389
  Medicare reassignment Care Compare group NPD
• Chelan County Public Hospital District No. 1

  • Rural Health Clinic/Center
  • Leavenworth, WA
  • NPI 1437141215
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chelan County Public Hospital District No. 1

  • Rural Acute Care Hospital
  • Leavenworth, WA
  • NPI 1962406389
  Care Compare affiliation

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1942793757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-5815",
            "fax_number": "509-548-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Miller St",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013201",
            "country_code": "US",
            "telephone_number": "509-662-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 N Chelan Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "98801",
            "country_code": "US",
            "telephone_number": "509-663-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADBURN",
        "first_name": "JOHN",
        "middle_name": "REESE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60904634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REESE",
            "last_name": "BRADBURN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gwendolyn Marie Baldock, PTA
• Stacey Ann Barnhill, MSW, LICSW
• Colin Bartholomew, M.A.
• Mary Jo Digesu Bartholomew, LICENSED MASSAGE THE
• Kelly Frances Boeing, PA
• Emily Brown
• Heather Butler, PTA
• Tony W Butruille, MD
• Nancy Ann Bywater-Johnson, PT
• Cascade School District

• Physician Assistant in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.