BRADLEY ZWAHLEN – Family Nurse Practitioner, NPI 1629581558

BRADLEY ZWAHLEN is a healthcare provider. based in Tualatin, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 202000931NP-PP (OR). The NPI Number for BRADLEY ZWAHLEN is 1629581558

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ZWAHLEN
NPI
1629581558
Phone
(503) 692-3750
Address
19250 SW 90th Ave
Enumeration Date
14 November 2017
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036923750
Graduation Year
2019 (7 years ago)
PAC ID
6800219163
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20200706002695
Address ID
OR970451583OR1508XSTXX304
Telehealth
Yes

Contacts

Secure Messaging
referringgso@1243.direct.myezyaccess.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

3,379 NURSE PRACTITIONER in OR

Provider Addresses for BRADLEY ZWAHLEN

  • 19250 SW 90th Ave

    Tualatin, OR 970627585

    Phone: (503) 692-3750

    Type: Location

  • West Main Street, Molalla, Clackamas County, Oregon, 97038, United States

    MOLALLA, OR 970389352

    Phone: (503) 829-7374

    Type: Mailing

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Type: Mailing

  • 1508 DIVISION ST STE 15

    OREGON CITY, OR 970451583

    Phone: (503) 692-3750

    Fax: (503) 691-2324

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-12-15 • Largest payer in this snapshot: ABBVIE INC. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200706002695INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes111111$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician8281$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician8281$0
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
N E U R O S U R G E R YOR

Reviews

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Frequently asked questions

Does BRADLEY ZWAHLEN have a public NPI I can cite?
Public records show BRADLEY ZWAHLEN under NPI 1629581558.
Is BRADLEY ZWAHLEN currently accepting referrals based on NPI status?
Registry metadata lists BRADLEY ZWAHLEN as active.
What services align with BRADLEY ZWAHLEN's listing?
BRADLEY ZWAHLEN's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to BRADLEY ZWAHLEN?
The directory associates BRADLEY ZWAHLEN with Tualatin, Oregon. Check all listed addresses for suites or satellite offices.
Can I export BRADLEY ZWAHLEN's record?
You can download the official NPPES record; we summarize key fields for readability.

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