Individual provider Active NPI

Brandon Glen Turnbo, FNP

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1487212783
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60967910 Issued in WA
Practice address
4411 Point Fosdick Dr Ste 305
Gig Harbor, WA 98335-1703
Phone
(731) 676-7643
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60967910 WA Primary

Addresses

Primary practice location

4411 Point Fosdick Dr Ste 305
Gig Harbor, WA 98335-1703

Mailing address

11101 SE Southworth Dr
Port Orchard, WA 98366-8982
Phone (731) 676-7643

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
I20190717003511 WA Practitioner - Nurse Practitioner 4082949771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60967910WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Occupational Medicine, LLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

4411 Point Fosdick Dr
Ste 305
Gig Harbor, WA 98335
Phone (731) 676-7643

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1487212783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 SE SOUTHWORTH DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668982",
            "telephone_number": "731-676-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 305",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "731-676-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBO",
        "first_name": "BRANDON",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60967910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.