NPIMap

Organization Active NPI

Bryan Morris-Ward MD PLLC

  • Family Medicine Physician
  • Olympia, WA
National Provider Identifier
1215126974
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00028839 Issued in WA
Legal business name
BRYAN MORRIS-WARD MD PLLC
Practice address
520 Lilly Rd NE BLDG 3
Olympia, WA 98506-5102
Phone
(360) 486-0617
Fax
(360) 486-0621
NPI assigned
Oct 18, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Bryan C Morris-Ward, M.D.
Title
Sole Proprietor
Phone
(360) 486-0617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00028839 WA Primary

Addresses

Primary practice location

520 Lilly Rd NE BLDG 3
Olympia, WA 98506-5102

Mailing address

1401 Marvin Rd NE
#307 PMB 266
Lacey, WA 98516-5749
Phone (360) 491-5055

Other identifiers 1

IdentifierTypeStateIssuer
1112853MedicaidWA

National Provider Directory

National Provider Directory

Locations

1401 Marvin Rd NE
Ste 307
Lacey, WA 98516
Phone (909) 496-1011

626 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-4435

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1215126974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MARVIN RD NE",
            "address_2": "#307 PMB 266",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165749",
            "telephone_number": "360-491-5055",
            "fax_number": "360-491-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LILLY RD NE BLDG 3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065102",
            "telephone_number": "360-486-0617",
            "fax_number": "360-486-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN MORRIS-WARD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS-WARD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "360-486-0617",
        "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": "MD00028839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112853",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.