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

Braidon Forrest Freeman, PAC

Individual provider Physician Assistant · NPI 1104812981

Braidon Forrest Freeman, PAC is a Physician Assistant in Spokane, Washington. Qualified in 2004, 22 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
22
Licensed in
OR, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

105 W 8th Ave Ste 200
Spokane, WA 99204-2318
Phone: (509) 624-9112
Fax: (503) 297-8148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61281463 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA 01014 (OR)

Record details

NPI number1104812981
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spokane