NPIMap

Organization Active NPI

Jennifer W. Carl, M.D.,PC

  • Physical Medicine & Rehabilitation Physician
  • Bremerton, WA
National Provider Identifier
1245487156
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00021898 Issued in WA
Legal business name
JENNIFER W. CARL, M.D.,PC
Practice address
2528 Wheaton Way
Suite 206
Bremerton, WA 98310-3305
Phone
(360) 379-5743
Fax
(360) 373-7054
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Jennifer W Carl, MD
Title
President
Phone
(360) 379-5743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD00021898 WA Primary

Addresses

Primary practice location

2528 Wheaton Way
Suite 206
Bremerton, WA 98310-3305

Mailing address

2528 Wheaton Way
Suite 206
Bremerton, WA 98310-3305
Phone (360) 379-5743

National Provider Directory

National Provider Directory

Locations

4227 S Meridian
#227
Puyallup, WA 98373

Practitioners & affiliated clinicians

Practitioners 5

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1245487156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY",
            "address_2": "SUITE 206",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103305",
            "telephone_number": "360-379-5743",
            "fax_number": "360-373-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY",
            "address_2": "SUITE 206",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103305",
            "telephone_number": "360-379-5743",
            "fax_number": "360-373-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER W. CARL, M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-379-5743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00021898",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2008; 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.