Active NPI
David P Pomeroy MD PS
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1346235173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15957
- Legal business name
- DAVID P POMEROY MD PS
- Doing business as
- Brain Health NW
- Practice address
- 2000 116TH Ave NE
Ste 6
Bellevue, WA 98004-3047 - Phone
- (425) 454-8684
- NPI assigned
- Sep 19, 2005
- 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
- David P Pomeroy, MD
- Title
- President
- Phone
- (425) 454-8684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15957 | WA | Primary |
| Family Medicine Physician | 207Q00000X | MD00015957 | WA |
Addresses
Primary practice location
2000 116TH Ave NE
Ste 6
Bellevue, WA 98004-3047
Mailing address
2000 116TH Ave NE
Ste 6
Bellevue, WA 98004-3047
Phone (425) 454-8684
Other names 1
- Brain Health NW
National Provider Directory
National Provider DirectoryLocations
2000 116th Ave NE
Ste 6
Bellevue, WA 98004
Phone (425) 454-8684
Practitioners & affiliated clinicians
Practitioners 1
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": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346235173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 116TH AVE NE",
"address_2": "STE 6",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043047",
"telephone_number": "425-454-8684",
"fax_number": "206-339-5465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 116TH AVE NE",
"address_2": "STE 6",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043047",
"telephone_number": "425-454-8684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID P POMEROY MD PS",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POMEROY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-454-8684",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "15957",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00015957",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brain Health NW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.