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