BRADLEY GOLL
NPI 1770121089
Nurse Anesthetist, Certified Registered in Omak, WA

Active since December 17, 2019Accepts Medicare Assignment
810 JASMINE ST, OMAK, WA 98841(509) 826-1760 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Goll NPPES

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

BRADLEY GOLL (NPI 1770121089) is an individual nurse anesthetist, certified registered in Omak, Washington, licensed in Idaho (50150) and active in the NPI registry since December 2019. He is affiliated with Samaritan Hospital and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770121089
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRADLEY GOLL
Location Address810 JASMINE STOmak, WA 98841-9578
Mailing Address1073 N Hiltonhead WayEagle, ID 83616-5460
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 17, 2019
NPI 1770121089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in ID · 50150
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
810 JASMINE ST, Omak, WA 98841

Accepted 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

Bradley Goll 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 ID3476982794
PECOS Enrollment IDI20200407001733

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98841 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

Physical Therapy Assistant
810 JASMINE ST
OMAK, WA 98841
Nurse Practitioner
810 JASMINE ST
OMAK, WA 98841
Nurse Anesthetist, Certified Registered
810 JASMINE ST
OMAK, WA 98841
Anesthesiology
810 JASMINE ST
OMAK, WA 98841
General Acute Care Hospital (Critical Access)
810 JASMINE ST
OMAK, WA 98841
Nurse Anesthetist, Certified Registered
810 JASMINE ST
OMAK, WA 98841
Emergency Medicine
810 JASMINE ST
OMAK, WA 98841
Occupational Therapist
810 JASMINE ST
OMAK, WA 98841

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 Bradley Goll's NPI number?

The NPI number for Bradley Goll is 1770121089. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Bradley Goll located?

Bradley Goll practices at 810 Jasmine St, Omak, WA 98841. The listed phone number is (509) 826-1760.

What is Bradley Goll's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Bradley Goll enrolled in Medicare?

Yes. Bradley Goll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Goll accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bradley Goll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Goll affiliated with any hospitals?

According to CMS data, Bradley Goll is affiliated with Samaritan Hospital and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Bradley Goll was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.