Active NPI
Bradley Allen Bringgold, M.D.
- Emergency Medicine Physician
- Port Angeles, WA
National Provider Identifier
1205802824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00033625
- Practice address
- 939 Caroline St
Port Angeles, WA 98362-3997 - Phone
- (360) 417-7000
- Fax
- (360) 452-5772
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00033625 | WA | Primary |
| Family Medicine Physician | 207Q00000X | MD00033625 | WA |
Addresses
Primary practice location
939 Caroline St
Port Angeles, WA 98362-3997
Mailing address
6220 Cape George Rd
Port Townsend, WA 98368-9040
Other practice location 1
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200 ext. 4225
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033625 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madrona Hill Urgent Care LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13337/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Port Ludlow, WA
- NPI 1093969859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1205802824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 CAPE GEORGE RD",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983689040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623997",
"telephone_number": "360-417-7000",
"fax_number": "360-452-5772"
}
],
"practiceLocations": [
{
"address_1": "834 Sheridan St",
"address_purpose": "LOCATION",
"city": "Port Townsend",
"state": "WA",
"postal_code": "983682443",
"country_code": "US",
"telephone_number": "360-385-2200 x4225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINGGOLD",
"first_name": "BRADLEY",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00033625",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00033625",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.