Bruchell Denise Washington

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

4224 Wilshire Dr
Valdosta, GA 31605-7020

Phone

(229) 257-4317

NPI assigned

Jul 13, 2010

Last updated

Jul 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1346552783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 WILSHIRE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 WILSHIRE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057020",
            "telephone_number": "229-257-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "BRUCHELL",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Ward, M.D.
• Kyla Ward, LPC
• Anastasia C Warner
• Courtney D. Warren, NP-C
• James Wesley Warren Jr., D.O.
• Liletta Troy Washington, PHARM.D.
• Wayne Washington
• David Thomas Wasieleski, PH.D.
• Waterfall Emergency Physicians, LLC
• Daren Waters Sr., EDD, MDIV, MS, LMFT

• Independent Duty Medical Technicians in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Independent Duty Medical Technicians in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.