BRAD GOLDWORM (P.A.) – Medical Physician Assistant, NPI 1295889087

BRAD GOLDWORM (P.A.) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA10004755 (WA). The NPI Number for BRAD GOLDWORM (P.A.) is 1295889087

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
BRAD GOLDWORM (P.A.)
NPI
1295889087
Phone
(509) 241-7349
Address
PO BOX 34584
Enumeration Date
22 January 2007
Last Update Date
7 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4880609569
Group Practice PAC ID
0941565162
Professional Enrollment ID
I20060216000389
Address ID
WA982269077BE4029XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for BRAD GOLDWORM (P.A.)

  • PO BOX 34584

    SEATTLE, WA 981241584

    Phone: (509) 241-7349

    Fax: (509) 241-7628

    Type: Mailing

  • 2950, Limited Lane Northwest, Olympia, Thurston County, Washington, 98502, United States

    OLYMPIA, WA 985024577

    Phone: (360) 252-9777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,332.

Total Amount is formed as General ($1,332) + Research ($0) + Ownership ($0) = $1,332.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($199).

Total Amount

$1,332

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060216000389IPhysician AssistantWATBD
I20141001001405IPhysician AssistantTXTBD

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
80307Testing for presence of drug, by chemistry analyzers221146$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms119109$0
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms10486$0
96127Assessment of emotional or behavioral problems3434$0
99205New patient office or other outpatient visit, 60-74 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 98124)

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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: 0941565162View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyWA
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Interventional Pain Management, Pain ManagementWA
Physical Therapist In Private PracticeOR
Physician AssistantWA
Physician AssistantWA
Pain Management, AnesthesiologyWA
Physician AssistantOR

Reviews

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Frequently asked questions

How is BRAD GOLDWORM (P.A.) identified in CMS data?
CMS-hosted NPPES data lists BRAD GOLDWORM (P.A.) with NPI 1295889087.
Does the file indicate BRAD GOLDWORM (P.A.) is practicing under active NPI?
Directory data currently reports BRAD GOLDWORM (P.A.) as active.
What is BRAD GOLDWORM (P.A.)'s specialty?
The listing groups BRAD GOLDWORM (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does BRAD GOLDWORM (P.A.) list a practice location?
Patients near Seattle, Washington may find BRAD GOLDWORM (P.A.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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