Active NPI
J David Swift, MD
- Internal Medicine Physician
- Bremerton, WA
National Provider Identifier
1003917600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00024401
- Practice address
- 2601 Cherry Avenue
Suite 302
Bremerton, WA 98310 - Phone
- (360) 479-4580
- Fax
- (360) 479-0424
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MD00024401 | WA | |
| Internal Medicine Physician | 207R00000X | MD00024401 | WA | Primary |
Addresses
Primary practice location
2601 Cherry Avenue
Suite 302
Bremerton, WA 98310
Mailing address
2601 Cherry Avenue
Suite 302
Bremerton, WA 98310
Phone (360) 479-4580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029750 | Medicaid | WA | |
| 0012423 | Other | WA | L & I |
| SW0033 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00024401 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Community Health Services | Internal Medicine | Past | Accepting new patients |
| Harrison Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Port Orchard, WA
- NPI 1679613244
-
- Federally Qualified Health Center (FQHC)
- Port Orchard, WA
- NPI 1205886934
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1003917600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 CHERRY AVENUE",
"address_2": "SUITE 302",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98310",
"telephone_number": "360-479-4580",
"fax_number": "360-479-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 CHERRY AVENUE",
"address_2": "SUITE 302",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98310",
"telephone_number": "360-479-4580",
"fax_number": "360-479-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "J",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WA",
"license": "MD00024401",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00024401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029750",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0012423",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "SW0033",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.