Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nichollas James Brush, PA-C

Individual provider Surgical Physician Assistant · NPI 1487239620

Nichollas James Brush, PA-C is a Physician Assistant in Tacoma, Washington. Qualified in 2021, 5 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1724 W Union Ave Ste 100
Tacoma, WA 98405-2099
Phone: (253) 830-5200
Fax: (253) 752-1160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 — (253) 358-4002
  • 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499-8000 — (253) 582-7257

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 61148690 (WA)

Record details

NPI number1487239620
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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