Individual provider Active NPI

Bradley Edward Smith, PAC

  • Surgical Physician Assistant
  • Federal Way, WA
National Provider Identifier
1952706103
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60514442 Issued in WA
Practice address
34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708
Phone
(253) 835-5510
Fax
(253) 835-5511
NPI assigned
Oct 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60514442 WA
Surgical Physician Assistant 363AS0400X PA60514442 WA Primary

Addresses

Primary practice location

34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708

Mailing address

34509 9TH Ave S Ste 204
Federal Way, WA 98003-8708
Phone (253) 835-5510

Other practice location 1

9505 S Steele St
Tacoma, WA 98444-1858
Phone (253) 597-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119000266 WA Practitioner - Physician Assistant 8628290046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

1608 S J St
Tacoma, WA 98405-4930

1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60514442WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 1, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Jan 13, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Jan 13, 2025 Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients

Locations

34509 9th Ave S
Ste 204
Federal Way, WA 98003
Phone (253) 835-5510

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

611 31st Ave SW
Ste C
Puyallup, WA 98373
Phone (253) 848-5951

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

11311 Bridgeport Way SW
Ste 309
Tacoma, WA 98499
Phone (253) 985-2733

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: bsmith4146516@ghc.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1952706103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 204",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038708",
            "telephone_number": "253-835-5510",
            "fax_number": "253-835-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 204",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038708",
            "telephone_number": "253-835-5510",
            "fax_number": "253-835-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9505 S Steele St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984441858",
            "country_code": "US",
            "telephone_number": "253-597-6800",
            "fax_number": "253-597-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60514442",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60514442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9505 S Steele St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984441858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.