Individual provider Active NPI

Carly Elizabeth Briggs, PA-C

  • Physician Assistant
  • Bremerton, WA
National Provider Identifier
1437827185
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2508 Wheaton Way
Bremerton, WA 98310-3303
Phone
(360) 377-3776
NPI assigned
Aug 30, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2508 Wheaton Way
Bremerton, WA 98310-3303

Mailing address

PO Box 960
Bremerton, WA 98337-0212

Other practice location 1

616 6th St
Bremerton, WA 98337-1420
Phone (360) 377-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216002024 WA Practitioner - Physician Assistant 4587036777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

616 6TH St
Bremerton, WA 98337-1420
Phone (360) 377-3776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince Nov 10, 2022 Accepting new patients
Peninsula Community Health Services CurrentSince Nov 10, 2022 Accepting new patients
Peninsula Community Health Services PastSince May 16, 2021 Accepting new patients
Peninsula Community Health Services Physician Assistant Past Accepting new patients
Peninsula Community Health Services Past Accepting new patients
Peninsula Community Health Services Physician Assistant PastSince Apr 24, 2022 Accepting new patients

Locations

300 E Campus Dr
Belfair, WA 98528
Phone (360) 277-2302

2442 Perry Ave
Bremerton, WA 98310

2508 Wheaton Way
Bremerton, WA 98310
Phone (360) 616-3131

2650 NE John Carlson Rd
Bremerton, WA 98311

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

8107 Central Valley Rd NE
Bremerton, WA 98311

11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346

2150 Fircrest Dr SE
Rm G1
Port Orchard, WA 98366

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

627 W Franklin St
Shelton, WA 98584
Phone (360) 427-8940

7607 NW Newberry Hill Rd
Silverdale, WA 98383
Phone (360) 475-6700

Interoperability endpoints

  • Direct secure messaging: carly.briggs.1@13902.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1437827185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983370212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 6th St",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983371420",
            "country_code": "US",
            "telephone_number": "360-377-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "CARLY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.