Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Goll

Individual provider Certified Registered Nurse Anesthetist · NPI 1770121089

Bradley Goll is a Certified Registered Nurse Anesthetist (CRNA) in Omak, Washington. Qualified in 2019, 7 years ago. Practices with Grant County Public Hospital District 1, a 94-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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Practice location Address checks out

810 Jasmine St
Omak, WA 98841-9578
Phone: (509) 826-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 50150 (ID)

Record details

NPI number1770121089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address1073 N Hiltonhead Way, Eagle, ID 83616-5460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Grant County Public Hospital District 1 — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Omak