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

Brian Michael Tanksley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790365823

Brian Michael Tanksley is an Emergency Medicine in Seattle, Washington. Qualified in 2021, 5 years ago. Practices with Seattle Emergency Physicians Services Inc Ps, a 40-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

747 Broadway
Seattle, WA 98122-4379
Phone: (206) 386-2573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD61501970 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790365823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address16410 84th St Ne Ste D-605, Lake Stevens, WA 98258-9060

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Seattle Emergency Physicians Services Inc Ps — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Seattle