NAVAL HOSPITAL BREMERTON (NPI# 1598966848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598966848 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL BREMERTON |
| Practice Address |
2050 Barb St Ste A Silverdale WA 98315-2050 |
| Mailing Address |
7300 Mccormick Woods Dr Sw Port Orchard WA 98367-7476 |
| Practice Telephone | 3603154363 |
| Mailing Telephone | 3608740449 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WAYNE A GUY (IDC) |
| Authorized Official Telephone | 3603154363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043317803 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 2050 Barb St Ste A, Silverdale, WA 98315 | 2006-09-20 |
| 1861599623 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 1400 Farragut Ave # Code063, Bremerton, WA 98314 | 2006-09-20 |
| 1750704631 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 1 Boone Rd, Bremerton, WA 98312 | 2014-01-28 |
| 1811096852 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 1 Boone Rd, Code 072, Bremerton, WA 98312 | 2006-09-22 |
| 1952408718 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 2000 W Marine View Dr, Everett, WA 98207 | 2006-09-20 |
| 1427010420 | Naval Hospital Bremerton | Military Hospital | 1 Boone Rd, Code 08razd, Bremerton, WA 98312-1898 | 2006-04-05 |
| 1760473581 | Naval Hospital Bremerton | Military Hospital | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-11-01 |
| Street Address |
2050 BARB ST STE A |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98315-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043317803 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 2050 Barb St Ste A, Silverdale, WA 98315 | 2006-09-20 |
| 1265043863 | Victoria Suzanne Mcrae | Dentist | 2050 Barb St Ste A, Silverdale, WA 98315-2050 | 2020-08-17 |
| 1629357843 | Jimmy Hyon Ku | Dentist | 2050 Barb St Ste A, Silverdale, WA 98315-2050 | 2011-08-04 |
| 1043490964 | Michael Alan Gwinn | Military Health Care Provider | 2050 Barb St Ste A, Silverdale, WA 98315-2050 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044500 | Tina Louise Toles | Military Health Care Provider | Marine Corps Security Forces Battalion, Fpo, AP 98315 | 2008-05-28 |
| 1235340738 | Edward Cliff Littler | Military Health Care Provider | Uss Henry M Jackson (ssbn 730)(blue), Fpo Ap, Bangor, WA 98315 | 2007-05-25 |
| 1871705673 | Christopher Lee Drennon | Military Health Care Provider | Mcsfco Bangor, Silverdlae, WA 98315 | 2007-05-04 |
| 1538191283 | Matthew H Mcclernan | Military Health Care Provider | Uss Kentucky Ssbn 737 Gold, 2100 Thresher Ave, Silverdale, WA 98315 | 2006-07-06 |
| 1851772891 | Robert Blackmon | Military Health Care Provider | 2050 Barb St, Silverdale, WA 98315 | 2015-06-16 |
| 1962723668 | Christopher Deon Davis | Military Health Care Provider | 2100 Thresher Ave, Uss Henry M Jackson Ssbn 730(g), Silverdale, WA 98315 | 2010-06-16 |
| 1366773038 | Mario M Faria | Military Health Care Provider | 2100 Thresher Ave, Uss Pennsylvania Ssbn 735, Silverdale, WA 98315 | 2010-01-20 |
| 1912196221 | Randall Evan Moss | Physician Assistant | 2050 Barb St, Silverdale, WA 98315 | 2007-10-23 |
| 1932302262 | Branch Medical Clinic Bangor | Clinic/Center | 2050 Barb St, Silverdale, WA 98315 | 2007-06-06 |
| 1386689560 | Richard E Bolton | Military Health Care Provider | 2100 Thresher Ave, Uss Nevada, Silverdale, WA 98315 | 2006-06-19 |
| Find all providers in zip 98315 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232902 | Jozlinn Rae | Military Health Care Provider | 3710 N Garry Rd, Otis Orchards, WA 99027-9397 | 2018-10-24 |
| 1790236503 | Mark Friskel | Military Health Care Provider | 5759a Fort Wright Oval, Fairchild Afb, WA 99011-2203 | 2016-10-17 |
| 1356682702 | Stacie Michelle Hoeger | Military Health Care Provider | 7505 N Wall St, Spokane, WA 99208-6104 | 2013-03-11 |
| 1013200757 | Leesa M Smith | Military Health Care Provider | 10447b Longmire Rd, Fort Lewis, WA 98433 | 2011-05-26 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| 1699919696 | Jason Stone Weiss | Military Health Care Provider | 3222 E 35th Ave, Spokane, WA 99223-4125 | 2009-04-22 |
| 1083783336 | Ronald Merel Husman | Military Health Care Provider | Uss Ford Ffg 54, Attn Medical Department, Fpo Ap, WA 96665-1508 | 2006-11-08 |
| 1053370254 | Erica Clarkson | Military Health Care Provider | Madigan Physical Therapy, Tacoma, WA 98431-0001 | 2006-03-17 |
| 1982175113 | Miguel Antonio Rodriguez Jr. | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98315 |
Please comment or provide details below to improve the information on NAVAL HOSPITAL BREMERTON.
| 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.