Kitsap Brain Injury

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KITSAP BRAIN INJURY

Doing business as

Kitsap Brain Injury

Practice address

2504 NE Sheridan Rd
Bremerton, WA 98310-5231

Phone

(360) 362-3076

NPI assigned

Mar 7, 2024

Last updated

Mar 7, 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

William Galen Hortenstine

Title

Executive Director

Phone

(360) 362-3076

Specialties & licenses 1

Addresses

Other names 1

• KITSAP BRAIN INJURY Doing business as

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1093573834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 NE SHERIDAN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105231",
            "telephone_number": "360-362-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 NE SHERIDAN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105231",
            "telephone_number": "360-362-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP BRAIN INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HORTENSTINE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GALEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-362-3076"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KITSAP BRAIN INJURY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Peter Kinney, MPA-C
• Brenda Kinyumu
• Mason Kirsch
• Heidi Kitley
• Kitsap Audiology & Hearing Aid Clinic, PLLC
• Kitsap Cardiology Consultants, P.L.L.C.
• Kitsap Chest Consultants PLLC
• Kitsap Clinic of Natural Medicine Inc
• Kitsap Colorectal Surgery Inc PS
• Kitsap Community Resources

• Community/Behavioral Health Agency in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.