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

Mr. Bryan James Antonius, RT

Individual provider Radiography Radiologic Technologist · NPI 1073985057

Mr. Bryan James Antonius, RT is a Radiography Radiologic Technologist in Bonney Lake, Washington. Practices as a sole proprietor. Licensed in Arizona and Washington.

Licensed in
AZ, WA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

10004 204th Ave E Ste 2600
Bonney Lake, WA 98391-6539
Phone: (253) 446-3983
Fax: (253) 862-5004
Show map & directions

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

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence RT 60584477 (WA)
Radiography Radiologic Technologist Taxonomy 2471C3402X · Licence CRT-17967 (AZ)

Record details

NPI number1073985057
Entity typeIndividual (Type 1)
GenderMale
Credentials RT
Sole proprietorYes
NPI enumeratedOctober 29, 2015
Last updated in NPPESOctober 29, 2015
Mailing address10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539