NPIMap

Individual provider Active NPI

Roger K Eagan, MD

  • Pulmonary Disease Physician
  • Bremerton, WA
National Provider Identifier
1063557981
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD00047354 Issued in WA
Practice address
2512 Wheaton Way Ste a
Bremerton, WA 98310-3303
Phone
(360) 782-5700
Fax
(253) 853-8067
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00047354 WA
Pulmonary Disease Physician 207RP1001X 00047354 WA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD00047354 WA
Pulmonary Disease Physician 207RP1001X MD00047354 WA Primary

Addresses

Primary practice location

2512 Wheaton Way Ste a
Bremerton, WA 98310-3303

Mailing address

2512 Wheaton Way Ste a
Bremerton, WA 98310-3303
Phone (360) 782-5700

Other identifiers 1

IdentifierTypeStateIssuer
1033506MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reagan61473@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000516 WA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3577654045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Southern Illinois University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2512 Wheaton Way
Suite a
Bremerton, WA 98310-3303
Phone (360) 479-8022

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00047354WAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Past Accepting new patients
Harrison Medical Center Past Accepting new patients
Kitsap Chest Consultants PLLC Specialist Past Accepting new patients

Locations

2520 Cherry Ave
#30721
Bremerton, WA 98310

1225 Campbell Way
Ste 201
Bremerton, WA 98310
Phone (360) 377-1355

2512 Wheaton Way
Ste A
Bremerton, WA 98310
Phone (253) 539-4200

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

19917 7th Ave NE
Ste 210
Poulsbo, WA 98370
Phone (360) 479-8022

1950 NW Myhre Rd
Fl 2
Silverdale, WA 98383
Phone (564) 240-4000

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: reagan61473@fhsce.catholichealth.net

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1063557981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 WHEATON WAY STE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-782-5700",
            "fax_number": "253-853-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 WHEATON WAY STE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-782-5700",
            "fax_number": "253-853-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "ROGER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00047354",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "00047354",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00047354",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00047354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033506",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reagan61473@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2512 Wheaton Way Ste A",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983103303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.