TYSON BRADLEY PA-S
NPI 1487208591
Physician Assistant - Surgical in Silverdale, WA

Q: What is Tyson Bradley's NPI number?

The NPI number for Tyson Bradley is 1487208591. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Q: What is Tyson Bradley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Bradley was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 26, 2019PECOS EnrolledAccepts Medicare Assignment

1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383(564) 240-4200(564) 240-4299 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Dec 23, 2020, Jul 26, 2019 (3 updates tracked since 2019).

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About Tyson Bradley Pa-s NPPES

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

TYSON BRADLEY PA-S (NPI 1487208591) is an individual surgical provider in Silverdale, Washington, licensed in Washington (61116811) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487208591

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTYSON BRADLEYCredential: PA-S

Location Address1950 NW MYHRE RD FL 3Silverdale, WA 98383-7662

Mailing Address1950 Nw Myhre Rd Fl 3Silverdale, WA 98383-7662 · (564) 240-4200 · Fax (564) 240-4299

Phone(564) 240-4200

Fax(564) 240-4299

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 26, 2019

Last NPPES UpdateMay 23, 20223 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1487208591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · 61116811

1950 NW MYHRE RD FL 3, Silverdale, WA 98383

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Other Identifiers 1

Medicaid2174485WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyson Bradley Pa-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850707084

PECOS Enrollment IDI20210312000152

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

22 services22 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

20 services20 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501323

Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County

Emergency services Birthing friendly

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.

SAMUEL GODIN NP

Nurse Practitioner (Gerontology)