NPIMap

Organization Active NPI

Branch Medical Clinic Puget Sound

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Bremerton, WA
National Provider Identifier
1457554776
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC PUGET SOUND
Practice address
1400 Farragut Ave
BLDG 940
Bremerton, WA 98314
Phone
(360) 476-2508
Fax
(360) 476-2480
NPI assigned
Jun 6, 2007
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL BREMERTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
William M Condon
Title
Bumed Ubo
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

1400 Farragut Ave
BLDG 940
Bremerton, WA 98314

Mailing address

1 Boone Rd
Code 08Razd
Bremerton, WA 98312-1894
Phone (360) 475-4160

National Provider Directory

National Provider Directory
Tax ID family
Naval Hospital Bremerton7 organizations share this tax ID, including this one
Part of
Naval Hospital Bremerton

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 Farragut Ave
Bldg 940
Bremerton, WA 98314
Phone (360) 476-2508

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1457554776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "address_2": "CODE 08RAZD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121894",
            "telephone_number": "360-475-4160",
            "fax_number": "360-475-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FARRAGUT AVE",
            "address_2": "BLDG 940",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98314",
            "telephone_number": "360-476-2508",
            "fax_number": "360-476-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC PUGET SOUND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL BREMERTON",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUMED UBO",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.