Individual provider Active NPI

W. Gary Becker, M.D.

  • Allergy & Immunology Physician
  • Tacoma, WA
National Provider Identifier
1184648586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD00011964 Issued in WA
Practice address
2302 S Union Ave Ste B18
Tacoma, WA 98405-1333
Phone
(253) 756-0112
Fax
(253) 756-0786
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD00011964 WA Primary

Addresses

Primary practice location

2302 S Union Ave Ste B18
Tacoma, WA 98405-1333

Mailing address

2302 S Union Ave Ste B18
Tacoma, WA 98405-1333
Phone (253) 756-0112

Other identifiers 1

IdentifierTypeStateIssuer
1387505MedicaidWA

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

State licenses

LicenseStateTypeSpecialty
025209WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Medical Associates PS Past Accepting new patients
Allergy Asthma & Sinus Care Center PS 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184648586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE B18",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-756-0112",
            "fax_number": "253-756-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE B18",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-756-0112",
            "fax_number": "253-756-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "W. GARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD00011964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387505",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.