Active NPI
Bernard Greenfeld, M.D.
- Emergency Medicine Physician
- Bremerton, WA
National Provider Identifier
1083666390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00016842
- Practice address
- 1651 NE Bentley Dr
Bremerton, WA 98311-3706 - Phone
- (360) 782-3400
- Fax
- (360) 782-3440
- NPI assigned
- May 16, 2006
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00016842 | WA | Primary |
Addresses
Primary practice location
1651 NE Bentley Dr
Bremerton, WA 98311-3706
Mailing address
2512 Wheaton Way
Bremerton, WA 98310-3399
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4313088 | Other | AETNA | |
| 8223414 | Medicaid | WA | |
| 120369 | Other | WA | LABOR & INDUSTRIES |
| 8927125 | Other | WA | CRIME VICTIMS COMP |
| GR7943 | Other | REGENCE BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Clinic a Professional Corporation | Past | Accepting new patients | |
| Doctors Clinic a Professional Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Doctors Clinic Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Silverdale, WA
- NPI 1073663480
-
dba Promptcare the Doctors Clinic
- Multi-Specialty Clinic/Center
- Bremerton, WA
- NPI 1871541128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1083666390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 NE BENTLEY DR",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113706",
"telephone_number": "360-782-3400",
"fax_number": "360-782-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFELD",
"first_name": "BERNARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00016842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4313088",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8223414",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "120369",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8927125",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "GR7943",
"state": null
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.