Individual provider Active NPI

William B Ferman, MD

  • Family Medicine Physician
  • Bremerton, WA
National Provider Identifier
1457344053
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 00026366 Issued in WA
Practice address
1310 Bertha Ave
Suite a
Bremerton, WA 98312-2607
Phone
(360) 373-0200
Fax
(360) 373-0425
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 00026366 WA Primary

Addresses

Primary practice location

1310 Bertha Ave
Suite a
Bremerton, WA 98312-2607

Mailing address

1310 Bertha Ave
Suite a
Bremerton, WA 98312-2607
Phone (360) 373-0200

Other identifiers 3

IdentifierTypeStateIssuer
7067655MedicaidWA
8869776OtherWAMEDICARE GROUP IDENTIFIER
8869777OtherWAMEDICARE INDIVIDUAL IDENT

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000295 WA Practitioner - Family Practice 0143310599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2528 Wheaton Way
Suite 103
Bremerton, WA 98310-3305
Phone (360) 373-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 00026366WAMDFamily Medicine Physician

Organizations & group practices 1

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

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1457344053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BERTHA AVE",
            "address_2": "SUITE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122607",
            "telephone_number": "360-373-0200",
            "fax_number": "360-373-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BERTHA AVE",
            "address_2": "SUITE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122607",
            "telephone_number": "360-373-0200",
            "fax_number": "360-373-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMAN",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 00026366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7067655",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP IDENTIFIER",
            "identifier": "8869776",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL IDENT",
            "identifier": "8869777",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.