Active NPI
Harrison Medical Center
- Cardiovascular Disease Physician
- Bremerton, WA
National Provider Identifier
1265571806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HARRISON MEDICAL CENTER
- Practice address
- 2520 Cherry Ave
Bremerton, WA 98310-4229 - Phone
- (360) 744-3911
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Schultz
- Title
- President
- Phone
- (360) 744-6505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
2520 Cherry Ave
Bremerton, WA 98310-4229
Mailing address
2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 744-3911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7063308 | Medicaid | WA | |
| 1006430 | Medicaid | WA | |
| 025862 | Other | WA | LABOR AND INDUSTRIES |
National Provider Directory
National Provider DirectoryLocations
2600 Cherry Ave
Ste 202
Bremerton, WA 98310
Phone (360) 479-2360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1265571806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-744-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-744-3911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISON MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-744-6505",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7063308",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006430",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "025862",
"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 Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.