Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Bradley Alan Frederickson, O.D.
Optometrist in Federal Way, WA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1174631899
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Registry record
Entity type Individual (Type 1)
Name Dr. Bradley Alan Frederickson
Credential O.D.
Sex Male
Practice address 34719 6th Ave S, Federal Way, WA, 98003
Phone (206) 212-2100
Fax (206) 212-2194
Enumeration date Aug 25, 2006
Last updated in NPPES Jan 3, 2024
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0870427 | Other | WA | AETNA GROUP PROVIDER NUMB |
| 91162803298116A005 | Other | WA | TRICARE & WPS BURIEN # |
| 2017242 | Medicaid | WA | - |
| 2187FR | Other | WA | REGENCE BURIEN RYDER # |
| FR5328 | Other | WA | REGENCE AUBURN RYDER # |
| 59460 | Other | WA | L&I GROUP NUMBER |
| 891451 | Other | WA | CRIME VICTIMS GROUP NUMBE |
| 911628032 | Other | WA | BLUE CROSS BILLING ID # |
| 91162803298002A003 | Other | WA | TRICARE & WPS AUBURN # |
| FR8712 | Other | WA | REGENCE FEDERAL WAY RYDER |
| 2017259 | Medicaid | WA | - |
| 410028421 | Other | WA | RAILROAD MEDICARE NUMBER |
| 91162803298003A003 | Other | WA | TRICARE & WPS FEDERAL WAY |
| 59461 | Other | WA | L & I INDIVIDUAL NUMBER |
| EV8144 | Other | WA | REGENCE GROUP EEC # |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Bradley Frederickson?
Bradley Frederickson is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Robert Tester Ophthalmology Physician · Federal Way, WA NPI 1689783268 Gary Chung Ophthalmology Physician · Federal Way, WA NPI 1275642779 Evergreen Eye Center, Pllc Ambulatory Surgical Clinic/Center · Federal Way, WA NPI 1821167479 Evergreen Eye Center, Pllc Ophthalmology Physician · Federal Way, WA NPI 1700959293 Erin Seefeldt Ophthalmology Physician · Federal Way, WA NPI 1629225024 James Santoro Optometrist · Federal Way, WA NPI 1578799292 Hans Bjorn Optometrist · Federal Way, WA NPI 1912232000 Jennifer Fisher Certified Registered Nurse Anesthetist · Federal Way, WA NPI 1962815357
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-03.