Organization Active NPI

PNC Podiatry of Washington PLLC

  • Podiatrist
  • Bremerton, WA
National Provider Identifier
1437054749
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PNC PODIATRY OF WASHINGTON PLLC
Practice address
900 Sheridan Rd Ste 101
Bremerton, WA 98310-2701
Phone
(360) 377-2233
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PNC PODIATRY OF WASHINGTON PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Alexander Reyzelman
Title
Cmo
Phone
(415) 680-0871

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

900 Sheridan Rd Ste 101
Bremerton, WA 98310-2701

Mailing address

PO Box 843324
Los Angeles, CA 90084-3324

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1437054749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900843324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN RD STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-377-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNC PODIATRY OF WASHINGTON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PNC PODIATRY OF WASHINGTON PLLC",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "415-680-0871"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.