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Active NPI 1730331240 Individual Practitioner Male Practitioner

Brent Sissom , CRT

Radiologic Technologist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Brent Sissom, CRT is a registered healthcare professional specializing in Radiologic Technologist in Puyallup, WA. Practice services are available at 1519 3RD ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1519 3rd St Se
Suite 103

Puyallup, WA 983723742

Telephone 2538418939
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Puyallup, WA (39 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist Primary Specialty

NUCC Taxonomy Code: 247100000X

State License WA RT00003985

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Christina Julian , MD

Anesthesiology - Pain Medicine

NPI 1013233428

Doctor of Medicine (M.D.)

Dr. Kathy Wang , DO

Pain Medicine - Interventional Pain Medicine

NPI 1053499608

Doctor of Osteopathic Medicine (D.O.)

Joyce Miranda , ARNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1184021610

Advanced Registered Nurse Practitioner, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Christopher Veal , MD

Anesthesiology - Pain Medicine

NPI 1235371329

Doctor of Medicine (M.D.)

Dr. David Paly , MD

Anesthesiology

NPI 1316978091

Doctor of Medicine (M.D.)

Madison Green , PA-C

Physician Assistant

NPI 1508454661

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2008

Registered at 1519 3RD ST SE, SUITE 103, PUYALLUP, WA 983723742 (Tel: 2538418939)

📍
Updated Business Mailing Address October 15, 2008

Registered at 1519 3RD ST SE, SUITE 101, PUYALLUP, WA 983723742 (Tel: 2538418939)

👤
Provider Name / Credentials Updated October 15, 2008

Recorded as BRENT SISSOM, CRT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2008

Radiologic Technologist (License #RT00003985 in WA)

🟢
Initial NPI Registration & Enumeration October 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730331240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2008
Last Update: October 15, 2008
Sole Proprietor: No

Mailing Address

1519 3rd St Se, Suite 101

Puyallup, WA 983723742

Phone: 2538418939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.