Active NPI
PNC Podiatry of Washington PLLC
- Podiatrist
- Bremerton, WA
National Provider Identifier
1437054749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- PNC PODIATRY OF WASHINGTON PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.