Active NPI
Stephen Charles Springate, MD
- Radiation Oncology Physician
- Bremerton, WA
National Provider Identifier
1245222173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00028700
- Practice address
- 2520 Cherry Ave
S Charles Springate MD
Bremerton, WA 98310-4229 - Phone
- (360) 475-8545
- Fax
- (360) 475-8542
- NPI assigned
- Aug 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD00028700 | WA | Primary |
Addresses
Primary practice location
2520 Cherry Ave
S Charles Springate MD
Bremerton, WA 98310-4229
Mailing address
2520 Cherry Ave
S Charles Springate MD
Bremerton, WA 98310-4229
Phone (360) 475-8545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1072636 | Medicaid | WA | |
| 920000322 | Other | WA | RR MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Radiation Oncology Associates, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Bremerton, WA
- NPI 1093736969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1245222173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"address_2": "S CHARLES SPRINGATE MD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-475-8545",
"fax_number": "360-475-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"address_2": "S CHARLES SPRINGATE MD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-475-8545",
"fax_number": "360-475-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGATE",
"first_name": "STEPHEN",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD00028700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1072636",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920000322",
"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 May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.