Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Barton Gillum Jr., PA

Individual provider Diagnostic Radiology Physician · NPI 1699752451

Mr. John Barton Gillum Jr., PA is a Diagnostic Radiology Physician in Tacoma, Washington. Licensed in Colorado and Texas. Registered with an NPI since 2005.

Licensed in
CO, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

Madigan Army Medical Ctr 9040 A Reid St
Tacoma, WA 98431-0001
Phone: (253) 968-1110
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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 PA03173 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1897 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 1897 (CO)

Record details

NPI number1699752451
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESJune 4, 2013

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