Active NPI
Troy Allen Pero
- Physician Assistant
- Bremerton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1206949
- Practice address
- 2520 Cherry Ave
Bremerton, WA 98310-4229 - Phone
- (360) 744-3911
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 1206949 | WA | Primary |
Addresses
Primary practice location
2520 Cherry Ave
Bremerton, WA 98310-4229
Mailing address
15907 28TH Ave NW
Gig Harbor, WA 98332-9278
Phone (253) 617-9278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1206949 | Other | WA | PA-C |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 S Kitsap Blvd
Port Orchard, WA 98366-3778
Phone (360) 377-3776
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206949 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Community Health Services | Current | Accepting new patients | |
| Peninsula Community Health Services | Past | Accepting new patients | |
| Peninsula Community Health Services | Physician Assistant | Past | Accepting new patients |
Locations
300 E Campus Dr
Belfair, WA 98528
Phone (360) 277-2302
31 NE State Route 300
Ste 200
Belfair, WA 98528
Phone (360) 377-3779
2442 Perry Ave
Bremerton, WA 98310
616 6th St
Bremerton, WA 98337
Phone (360) 478-2366
2720 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6154
5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031
2650 NE John Carlson Rd
Bremerton, WA 98311
8107 Central Valley Rd NE
Bremerton, WA 98311
11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696
26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346
25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844
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
3100 NW Bucklin Hill Rd
Ste 202
Silverdale, WA 98383
Phone (360) 377-3773
Interoperability endpoints
- troy.pero.1@13902.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Bremerton, WA
- NPI 1982654182
-
- Federally Qualified Health Center (FQHC)
- Poulsbo, WA
- NPI 1831912021
-
- Federally Qualified Health Center (FQHC)
- Port Orchard, WA
- NPI 1205886934
Physician Assistant
-
- Dentist
- Port Orchard, WA
- NPI 1588041701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1497481204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15907 28TH AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983329278",
"telephone_number": "253-617-9278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-744-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERO",
"first_name": "TROY",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "1206949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA-C",
"identifier": "1206949",
"state": "WA"
}
],
"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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.