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BRENT SISSOM CRT
NPI 1730331240
Radiologic Technologist in Puyallup, WA

Active since October 15, 2008
1519 3RD ST SE, SUITE 103, PUYALLUP, WA 98372(253) 841-8939 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Sissom Crt NPPES

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

BRENT SISSOM CRT (NPI 1730331240) is an individual radiologic technologist in Puyallup, Washington, licensed in Washington (RT00003985) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1730331240
Entity TypeIndividualMale
Primary Taxonomy247100000X
Provider Legal NameBRENT SISSOMCredential: CRT
Location Address1519 3RD ST SE, SUITE 103Puyallup, WA 98372-3742
Mailing Address1519 3rd St Se, Suite 101Puyallup, WA 98372-3742 · (253) 841-8939
Phone(253) 841-8939
Sole ProprietorNo
Enumeration DateOctober 15, 2008
✔ NPI 1730331240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
License✔ Licensed in WA · RT00003985
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
1519 3RD ST SE, Puyallup, WA 98372
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Other Providers at the Same Location NPPES 19

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

DR. GREGORY RYAN LAMBERTON M.D.
Urology
1519 3RD ST SE, STE 210
PUYALLUP, WA 98372
Pierce County (253) 840-4994
PROLIANCE SURGEONS, INC., P.S.
Clinic/Center (Ambulatory Surgical)
1519 3RD ST SE, SUITE 240
PUYALLUP, WA 98372
Pierce County (253) 445-1844
PARTNER ONCOLOGY INC
Internal Medicine (Hematology & Oncology)
1519 3RD ST SE, SUITE 260
PUYALLUP, WA 98372
Pierce County (253) 770-1700
SOUTH SOUND NEUROSURGERY PLLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
1519 3RD ST SE, SUITE 103
PUYALLUP, WA 98372
Pierce County (253) 841-8939
DR. DOUGLAS R. KING
Surgery
1519 3RD ST SE, STE 230
PUYALLUP, WA 98372
Pierce County (253) 841-9640
APPLE PHYSICAL THERAPY PS
Durable Medical Equipment & Medical Supplies
1519 3RD ST SE, SUITE 104
PUYALLUP, WA 98372
Pierce County (253) 445-0400
DR. KENNETH A. FEUCHT MD
Surgery
1519 3RD ST SE, STE 230
PUYALLUP, WA 98372
Pierce County (253) 445-1844
NEOSPINE PUYALLUP SPINE CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1519 3RD ST SE, SUITE 102
PUYALLUP, WA 98372
Pierce County (253) 841-0705

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 Brent Sissom's NPI number?

The NPI number for Brent Sissom is 1730331240. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Brent Sissom located?

Brent Sissom practices at 1519 3rd St SE Suite 103, Puyallup, WA 98372. The listed phone number is (253) 841-8939.

What is Brent Sissom's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Brent Sissom was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.