DR. BRADLEY ROTER M.D.
NPI 1528045705
Family Medicine in Seattle, WA

Q: What is Bradley Roter's NPI number?

The NPI number for Bradley Roter is 1528045705. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Bradley Roter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Roter was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 December 28, 2005PECOS EnrolledAccepts Medicare Assignment

550 16TH AVE STE 100, SEATTLE, WA 98122(206) 320-2484 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Jan 25, 2017, Oct 21, 2016 (3 updates tracked since 2016).

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About Dr. Bradley Roter M.d. NPPES

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

DR. BRADLEY ROTER M.D. (NPI 1528045705) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00026420) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Vashon, and is a graduate of Washington University School Of Medicine (1986).

NPPES Registry Identity

NPI1528045705

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRADLEY ROTERCredential: M.D.

Location Address550 16TH AVE STE 100Seattle, WA 98122-5636

Mailing Address13320 108th Ave SwVashon, WA 98070-3320

Phone(206) 320-2484

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1986

Enumeration DateDecember 28, 2005

Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration

NPPES CertifiedNovember 26, 2025

✔ NPI 1528045705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD00026420

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

550 16TH AVE STE 100, Seattle, WA 98122

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Secondary Practice Location 1

Location 110030 SW 210th StVashon, WA 98070-6584 · Phone (253) 681-6626

Other Identifiers 1

Medicaid8115073WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Dr. Bradley Roter M.d. 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 ID9931356912

PECOS Enrollment IDI20120827000416

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KRISTIENNE EDROSOLAN MD, MPH

Student in an Organized Health Care Education/Training Program