MR. BRUCE WAYNE GODWIN (NPI# 1053750844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053750844 |
| Entity Type | Individual |
| Full Name | MR. BRUCE WAYNE GODWIN |
| Credential | RN, COHN-S |
| Practice Address |
480 Central Ave. Naval Health Clinic Hawaii Jbphh HI 96860 |
| Practice Telephone | 8084744242 |
| Practice Fax Number | 8084711437 |
| Mailing Telephone | 8084744242 |
| Mailing Fax Number | 8084711437 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
520972 | CA | Nursing Service Providers |
| Y | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
RN35705 | HI | Nursing Service Providers |
| Street Address |
480 CENTRAL AVE. NAVAL HEALTH CLINIC HAWAII |
| City | JBPHH |
| State | HI |
| Zip Code | 96860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255399135 | Adriana C. Stegman | Dentist | 480 Central Ave., Jbphh, HI 96860 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 163WX0106X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1447638986 | Laura Kosky | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2015-05-17 |
| 1700292240 | Lynette Parker | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-07-04 |
Please comment or provide details below to improve the information on MR. BRUCE WAYNE GODWIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.