NPIMap

Organization Active NPI

GW the Medical Faculty Associate

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1033590724
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN1004515 Issued in DC
Legal business name
GW THE MEDICAL FACULTY ASSOCIATE
Practice address
2150 Pennsylvania Ave NW
Department of Surgery, Suite 6B-412
Washington, DC 20037-3201
Phone
(202) 741-3225
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roger Magboo Brucal, AGPCNP-BCNPI 1699159806
Title
Nurse Practitioner
Phone
(240) 481-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1004515 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW
Department of Surgery, Suite 6B-412
Washington, DC 20037-3201

Mailing address

10401 Grosvenor PL
Apt 1311
Rockville, MD 20852-4646
Phone (240) 481-3356

National Provider Directory

National Provider Directory
Tax ID family
GW Medical Faculty Associates51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

2150 Pennsylvania Ave NW
Ste 6B412
Washington, DC 20037
Phone (202) 741-3225

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1033590724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 GROSVENOR PL",
            "address_2": "APT 1311",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524646",
            "telephone_number": "240-481-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "DEPARTMENT OF SURGERY, SUITE 6B-412",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GW THE MEDICAL FACULTY ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BRUCAL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MAGBOO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-481-3356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1004515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.