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DR. BRYCE ALLEN MERRITT MD NPI 1487073979


NPI Information

NPI: 1487073979
Provider Name: DR. BRYCE ALLEN MERRITT, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

DR. Bryce Allen Merritt, MD is a diagnostic radiology radiology in Tacoma, WA with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Bryce Allen Merritt, MD NPI is 1487073979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2014

The provider's business location address is:

1304 FAWCETT AVE
TACOMA, WA
ZIP 98402-911
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1487073979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 7/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingMD201416OREGONNo
22085B0100XRadiologyBody ImagingMD61044567WASHINGTONNo
32085R0202XRadiologyDiagnostic RadiologyMD61044567WASHINGTONYes
42085R0202XRadiologyDiagnostic RadiologyMD201416OREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10423349OTHERWASHINGTONL&I-UNION AVENUE OPEN MRI
20423345OTHERWASHINGTONL&I-TRA-REST OF WA
32156677MEDICAIDWASHINGTON
4500793064MEDICAIDOREGON
50423347OTHERWASHINGTONL&I-TRA-KING
60423350OTHERWASHINGTONL&I-DIANOSTIC IMAGING NW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.