MR. BRYAN JAMES ANTONIUS R.T.
NPI 1073985057
Radiologic Technologist - Radiography in Bonney Lake, WA

Active since October 29, 2015
10004 204TH AVE E, SUITE 2600, BONNEY LAKE, WA 98391(253) 446-3983(253) 862-5004 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Bryan James Antonius R.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRYAN JAMES ANTONIUS R.T. (NPI 1073985057) is an individual radiography provider in Bonney Lake, Washington, licensed in Washington (RT 60584477) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1073985057
Entity TypeIndividualMale
Primary Taxonomy2471C3402X
Provider Legal NameMR. BRYAN JAMES ANTONIUSCredential: R.T.
Location Address10004 204TH AVE E, SUITE 2600Bonney Lake, WA 98391-6539
Mailing Address10004 204th Ave E, Suite 2600Bonney Lake, WA 98391-6539 · (253) 446-3983 · Fax (253) 862-5004
Fax(253) 862-5004
Sole ProprietorYes
Enumeration DateOctober 29, 2015
NPI 1073985057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471C3402X
Licenses Licensed in WA · RT 60584477 Licensed in AZ · CRT-17967
Definition
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
10004 204TH AVE E, Bonney Lake, WA 98391

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Physician Assistant (Surgical)
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pediatrics
10004 204TH AVE E, SUITE 1300
BONNEY LAKE, WA 98391
Physician Assistant
10004 204TH AVE E
BONNEY LAKE, WA 98391
Physician Assistant (Medical)
10004 204TH AVE E
BONNEY LAKE, WA 98391
Nurse Practitioner
10004 204TH AVE E
BONNEY LAKE, WA 98391
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Antonius's NPI number?

The NPI number for Bryan Antonius is 1073985057. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Bryan Antonius located?

Bryan Antonius practices at 10004 204th Ave E Suite 2600, Bonney Lake, WA 98391. The listed phone number is (253) 446-3983.

What is Bryan Antonius's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

When was this NPI record last updated?

The NPPES record for Bryan Antonius was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.