DR. BRANDON ELLIS PRIORESCHI (NPI# 1659638948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659638948 |
| Entity Type | Individual |
| Full Name | DR. BRANDON ELLIS PRIORESCHI |
| Credential | M.D. |
| Practice Address |
1 Boone Rd Bremerton WA 98312 |
| Mailing Address |
1 Boone Rd Bremerton WA 98312-1894 |
| Practice Telephone | 3604754000 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171000000X | Military Health Care Provider | 17318 | NH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 1659638948 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Dr, Dhmc Department of Orthopaedic Surgery, Lebanon, NH 037561000 | 6036505133 | |
| Psc 455 Box 208, Fpo, AP 965400003 | 6714880279 |
| Street Address |
1 BOONE RD |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829548 | Jeffrey Steven Martens | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-05-31 |
| 1871106039 | Matthew Raymond Wasilewski | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-08-27 |
| 1124637269 | Jason D Balazs | Nurse Anesthetist, Certified Registered | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-07-24 |
| 1649893769 | Joy Marie Abonitalla Bautista | Registered Nurse | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-05-22 |
| 1710511027 | Brad Levi Okeefe | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-02-25 |
| 1659914091 | Caitlin Sleight | Psychologist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-10-17 |
| 1477194603 | Nicholas Kovacevic | Dentist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-09-29 |
| 1023576295 | Jennifer Danielle Squazza | Advanced Practice Midwife | 1 Boone Rd, Bremerton, WA 98312-1898 | 2019-03-06 |
| 1538654348 | Ashley Simpson | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2018-06-25 |
| 1619481280 | Victor Roger Chu | Pharmacist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700940434 | Charles Edwin Olson | Military Health Care Provider | One Boone Rd, Bremerton, WA 98312 | 2006-12-20 |
| 1730699752 | Christopher Eugene Steadman | Military Health Care Provider | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-10-04 |
| 1366602088 | James R Bailey | Military Health Care Provider | 1 Boone Rd, Bremerton, WA 98312-1894 | 2008-06-16 |
| 1013187830 | Brian Casey Pruett | Military Health Care Provider | 1 Boone Rd, Bremerton, WA 98312-1894 | 2008-03-07 |
| 1104805183 | Rolf Kirsten Schmidt | Military Health Care Provider | 1 Boone Rd, Bremerton, WA 98312-1894 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324962 | Elizabeth Thi Nguyen | Military Health Care Provider | 27831 37th Ave S, Auburn, WA 98001-1065 | 2019-09-09 |
| 1760996235 | Brian Scott Loomis | Military Health Care Provider | 701 Hospital Loop Ste 42, Fairchild Afb, WA 99011-8702 | 2017-11-20 |
| 1144549379 | Samantha Colleen Myers | Military Health Care Provider | 2000 W Marine View Dr # 2134, Everett, WA 98207-2900 | 2010-05-27 |
| 1306020359 | Felipson Zabala Ramos Jr. | Military Health Care Provider | 2001 Sixth Ave, Suite 2705, Us Air Force, Seattle, WA 98312-2547 | 2007-12-27 |
| 1437367257 | Pin Y Yau | Military Health Care Provider | 4735 E Marginal Way S, Seattle, WA 98134-2388 | 2007-05-18 |
| 1013013309 | Michael Matthew Dickman | Military Health Care Provider | 9040 Jackson Avenue Family Medicine Department, Tacoma, WA 98431 | 2006-09-15 |
| 1003920380 | Norman Albert Gosch | Military Health Care Provider | 17th and C St., Bldg. 11582, Fort Lewis, WA 98433 | 2006-08-17 |
| 1982662169 | Marvin J Gottschall | Military Health Care Provider | 701 Hospital Loop 92 Mdg, Ste 132, Fairchild Afb, WA 99011 | 2006-05-04 |
| 1518935931 | Eric A. Lange | Military Health Care Provider | 312 Fitzsimmons Ave, Tacoma, WA 98341 | 2006-03-10 |
| 1770555393 | Paul Mccafferty Ryan | Military Health Care Provider | Attn: Mchj-sop, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-02-07 |
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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.