Individual provider Active NPI

Daniel Evan Bradley, M.D.

  • Family Medicine Physician
  • Port Orchard, WA
National Provider Identifier
1992093538
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60824243 Issued in WA
Practice address
450 S Kitsap Blvd Ste 250
Port Orchard, WA 98366-3739
Phone
(360) 782-3001
Fax
(360) 782-3040
NPI assigned
Jul 18, 2011
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0069721 CO
Family Medicine Physician 207Q00000X ME116980 FL
Family Medicine Physician 207Q00000X MD60824243 WA Primary

Addresses

Primary practice location

450 S Kitsap Blvd Ste 250
Port Orchard, WA 98366-3739

Mailing address

450 S Kitsap Blvd Ste 250
Port Orchard, WA 98366-3739
Phone (360) 782-3001

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228001644 WA Practitioner - Family Practice 8123386448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2011
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)

450 S Kitsap Blvd
Suite 250
Port Orchard, WA 98366-3739
Phone (360) 782-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0069721COMDFamily Medicine Physician
ME116980FLMDFamily Medicine Physician
MD60824243WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Aug 7, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 4, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 4, 2018 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients
Branch Medical Clinic Bangor Past Accepting new patients

Locations

450 S Kitsap Blvd
Ste 250
Port Orchard, WA 98366
Phone (360) 782-3000

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

10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300

9621 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3300

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

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

Organizations & group practices 6

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 1

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1992093538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD STE 250",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663739",
            "telephone_number": "360-782-3001",
            "fax_number": "360-782-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD STE 250",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663739",
            "telephone_number": "360-782-3001",
            "fax_number": "360-782-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DANIEL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0069721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116980",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60824243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.