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

Dr. Andre Barranda Bautista, MD

Individual provider Diagnostic Radiology Physician · NPI 1164665444

Dr. Andre Barranda Bautista, MD is a Diagnostic Radiology in Tacoma, Washington. Qualified in 2009, 17 years ago. Practices with Tra-Minw P S, a 153-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone: (253) 761-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD60545139 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60545139 (WA)

Record details

NPI number1164665444
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tra-Minw P S — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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