DR. BRUCE M PEDERSON (NPI# 1316988926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316988926 |
| Entity Type | Individual |
| Full Name | DR. BRUCE M PEDERSON |
| Credential | MD |
| Practice Address |
8097 Harborview Rd Blaine WA 98230-9639 |
| Mailing Address |
709 W Orchard Dr Suite 4 Bellingham WA 98225-1766 |
| Practice Telephone | 3603715855 |
| Practice Fax Number | 3603715857 |
| Mailing Telephone | 3603188800 |
| Mailing Fax Number | 3603181085 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00014727 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | 080147969 | 01 |
| WA | GROUP HEALTH COOPERATIVE | 423898002 | 01 |
| WA | LABOR & INDUSTRIES (REG) | 0128920 | 01 |
| WA | 1722602 | 05 | |
| WA | LABOR & INDUSTRIES (CV) | 8924735 | 01 |
| WA | REGENCE BLUESHIELD | 14509 | 01 |
| Street Address |
8097 HARBORVIEW RD |
| City | BLAINE |
| State | WA |
| Zip Code | 98230-9639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093767634 | Teresa L. Regier | Nurse Practitioner | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2006-05-16 |
| 1477189249 | Family Care Network Pllc | Clinical Medical Laboratory | 8097 Harborview Rd, Blaine, WA 98230 | 2020-03-12 |
| 1124406145 | Leah Embree | Family Medicine | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2015-05-11 |
| 1811317092 | Jessica Lynn Klassen | Nurse Practitioner | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2014-04-26 |
| 1306058037 | Family Care Network Pllc | Health Maintenance Organization | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2007-05-04 |
| 1013049766 | Family Care Network Pllc | Clinic/Center | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2007-03-09 |
| 1720014921 | Family Care Network Pllc | Family Medicine | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699289413 | Gateway Languages Inc | Interpreter | 4243 Lee Lane, Blaine, WA 98230 | 2017-12-01 |
| 1982141693 | Laurel Eby | Counselor | 288 Martin Street, Box 1 Suite 100, Blaine, WA 98230 | 2017-01-20 |
| 1245621390 | Seraida Lucy Vazquez | Massage Therapist | 7620 Birch Bay Drive, Birch Bay, WA 98230 | 2015-02-11 |
| 1902149362 | Jason Skinner Rn | Assisted Living Facility | 7512 Wooldridge Ave, Blaine, WA 98230 | 2013-04-03 |
| 1881942035 | Touchstone Behavioral Health, LLC | Community/Behavioral Health | 288 Martin St., Suite 100, Blaine, WA 98230 | 2012-08-20 |
| 1861703639 | Choong Hyun Lee | Dentist | 341 C Street, Blaine, WA 98230 | 2010-06-28 |
| 1477763092 | Donald Lyle Rathe | Dentist | 341 C . St., Blaine, WA 98230 | 2007-05-23 |
| 1780805507 | Trista Rawlings Lawrence | Specialist | 477 Peace Portal Drive, Suite 5b, Blaine, WA 98230 | 2007-05-01 |
| 1609171438 | Christopher John Andruscavage | Chiropractor | 245 H St, Blaine, WA 98230 | 2011-01-26 |
| 1568423937 | Boyce L. Wilf | Optometrist | 232 H St, Blaine, WA 98230-4018 | 2006-03-28 |
| Find all providers in zip 98230 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932412970 | Ian Manuel Guerrero Corpus | Family Medicine | 3437 125th Dr Ne Unit C, Blaine, MN 55449-6139 | 2010-07-20 |
| 1043319551 | Marta S Kazymyra | Family Medicine | 377 C St, Blaine, WA 98230-4209 | 2006-09-21 |
| 1346358926 | Ronald E. Rehmann | Family Medicine | 8891 Airport Rd Ne Ste 2b, Blaine, MN 55449-7247 | 2006-08-25 |
| 1093724825 | Peter Michael Yawn | Family Medicine | 1420 109th Ave Ne, Blaine, MN 55449-3602 | 2006-08-08 |
| 1467415125 | Jennifer S Auge | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-04-11 |
| 1497721765 | Brett Adams | Family Medicine | 11855 Ulysses St Ne Ste 110, Blaine, MN 55434-3948 | 2006-02-27 |
| 1215911466 | Carol L Sarpal | Family Medicine | 12175 Aberdeen St Ne, Blaine, MN 55449-4717 | 2005-12-01 |
| 1912437153 | Laura Brudecki | Family Medicine | 880 Rutledge Pike, Blaine, TN 37709-2317 | 2017-06-19 |
| 1124406145 | Leah Embree | Family Medicine | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2015-05-11 |
| 1770717639 | Caroline Barusya | Family Medicine | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2009-05-07 |
| Find all providers in BLAINE | ||||
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| 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.