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

Dr. Brian Michael Boldt, DO

Individual provider Diagnostic Radiology Physician · NPI 1144480245

Dr. Brian Michael Boldt, DO is a Diagnostic Radiology in Tacoma, Washington. Qualified in 2008, 18 years ago. Practices with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, a 115-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone: (253) 761-4200
Show map & directions

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

Additional practice locations (1)

  • Madigan Army Medical Ctr Department Of, Tacoma, WA 98431-0001 — (253) 968-5604

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OP60104328 (WA)

Record details

NPI number1144480245
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2008
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 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
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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