Northwest Physicians Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC

Doing business as

Physican Care NW

Practice address

5920 100TH St SW Ste 31
Lakewood, WA 98499-2751

Phone

(253) 584-3023

Fax

(253) 582-1222

NPI assigned

Dec 7, 2010

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Bridge, M.D.

Title

President

Phone

(206) 715-4652

Specialties & licenses 6

Addresses

Other names 1

• Physican Care NW Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 7

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.

• Ulrich Birlenbach, M.D.

  • Specialist
  • Lakewood, WA
  • NPI 1922031475
  Medicare reassignment Care Compare group NPD
• Victor Jason Harris, P.A.

  • Physician Assistant
  • Tacoma, WA
  • NPI 1295701803

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Courtney Marie Kennel, D.O.

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1912261447
  Medicare reassignment Care Compare group NPD
• David Robert Kennel, M.D.

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1952345563
  Medicare reassignment Care Compare group NPD
• Brandon Alan Swisher, PA-C

  • Surgical Physician Assistant
  • Bonney Lake, WA
  • NPI 1013949452
  Medicare reassignment
• Suzie Park Chang, M.D.

  • Pediatrics Physician
  • Federal Way, WA
  • NPI 1427401082
  NPD (past)
• Ann E Hyder, ARNP

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1477641496
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1043513435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE 30",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-830-2030",
            "fax_number": "253-830-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE 31",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-584-3023",
            "fax_number": "253-582-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 100th St SW Ste 32",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992751",
            "country_code": "US",
            "telephone_number": "253-582-7220",
            "fax_number": "253-582-0586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32124 1st Ave S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035761",
            "country_code": "US",
            "telephone_number": "253-941-0673",
            "fax_number": "253-941-8109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST PHYSICIANS MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BRIDGE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-715-4652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physican Care NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sedaya Northern, MS
• Weston Alexander Northrop
• Kathleen Northrup, BS
• Northwest Optical Vision Center Inc. (Northwest Optical)
• Northwest Pain Relief Centers LLC
• Casie Dee Norton
• April Novotny-Cardenas, LICSW
• Nicole Michele Nowak, BSP
• Paul Joseph Nuccio, MD
• Dorothy Numkena, LMP

• Family Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.