Organization Active NPI

William Ferman MD PS

  • Family Medicine Physician
  • Bremerton, WA
National Provider Identifier
1184808552
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00026366 Issued in WA
Legal business name
WILLIAM FERMAN MD PS
Practice address
2528 Wheaton Way
Suite 103
Bremerton, WA 98310
Phone
(360) 373-0200
Fax
(360) 373-0425
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. William Ferman, M.D.NPI 1457344053
Title
President
Phone
(360) 373-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00026366 WA Primary

Addresses

Primary practice location

2528 Wheaton Way
Suite 103
Bremerton, WA 98310

Mailing address

2528 Wheaton Way
Suite 103
Bremerton, WA 98310-3305
Phone (360) 373-0200

Other identifiers 1

IdentifierTypeStateIssuer
7067655MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000675 WA Part B Supplier - Clinic/Group Practice 5890876932 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA

National Provider Directory

National Provider Directory

Locations

2528 Wheaton Way
Ste 103
Bremerton, WA 98310
Phone (360) 373-0200

1310 Bertha Ave NW
Ste A
Bremerton, WA 98312
Phone (360) 373-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1184808552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY",
            "address_2": "SUITE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103305",
            "telephone_number": "360-373-0200",
            "fax_number": "360-373-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY",
            "address_2": "SUITE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-373-0200",
            "fax_number": "360-373-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM FERMAN MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-373-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00026366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7067655",
            "state": "WA"
        }
    ],
    "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 Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.