Bruce Wayne Godwin, RN, COHN-S

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

RN35705 Issued in HI

Practice address

480 Central Ave.
Naval Health Clinic Hawaii
Jbphh, HI 96860

Phone

(808) 474-4242

Fax

(808) 471-1437

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1053750844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE.",
            "address_2": "NAVAL HEALTH CLINIC HAWAII",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "808-474-4242",
            "fax_number": "808-471-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE.",
            "address_2": "NAVAL HEALTH CLINIC HAWAII",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "808-474-4242",
            "fax_number": "808-471-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "BRUCE",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "RN, COHN-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "HI",
            "license": "RN35705",
            "primary": true
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "CA",
            "license": "520972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charisma Q Foronda
• Brian Fulton
• Nitasha Garcia, M.D.
• John Thomas Gasper
• Caroline Yong Glover
• Jessie Gomez
• Barbara Gordon-Wendt, PHD
• Sarah Ann Gordon, RN
• William Gregg, RN
• Derek Allen Gresko, O.D.

• Occupational Health Registered Nurse in Jbphh, HI
• Providers in Jbphh, HI by specialty
• Occupational Health Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.