Organization Active NPI

David P Pomeroy MD PS

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1346235173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15957 Issued in WA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David P Pomeroy, MDNPI 1760701528
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 15957 WA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.