Active NPI
Doctors Clinic Apc
Doing business as The Doctors Clinic of East Bremerton
- Multi-Specialty Clinic/Center
- Bremerton, WA
National Provider Identifier
1356309330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- DOCTORS CLINIC APC
- Doing business as
- The Doctors Clinic of East Bremerton
- Practice address
- 2512 Wheaton Way
Bremerton, WA 98310-3399 - Phone
- (360) 782-3600
- NPI assigned
- May 1, 2006
- Last updated
- Nov 14, 2014
- 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
- Linda A. Brown
- Title
- Ceo
- Phone
- (360) 782-3600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | WA | ||
| Multi-Specialty Clinic/Center | 261QM1300X | WA | Primary | |
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
2512 Wheaton Way
Bremerton, WA 98310-3399
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8914602 | Other | WA | CVCP |
| 50D0911681 | Other | CLIA | |
| 75420 | Other | WA | LABOR & INDUSTRIES |
| 8914602 | Other | WA | CRIME VICTIMS COMP |
| 7041312 | Medicaid | WA | |
| CU0247 | Other | WA | RAILROAD MEDICARE |
| 20337 | Other | COAL MINE WORKERS COMP | |
| 337018601 | Other | OWCP |
Other names 1
- THE DOCTORS CLINIC OF EAST BREMERTON
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415923200000",
"number": "1356309330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103399",
"telephone_number": "360-782-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS CLINIC APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2014-11-14",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-782-3600"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVCP",
"identifier": "8914602",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "50D0911681",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "75420",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8914602",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7041312",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CU0247",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COAL MINE WORKERS COMP",
"identifier": "20337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "337018601",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE DOCTORS CLINIC OF EAST BREMERTON",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.