Individual provider Active NPI

Troy Allen Pero

  • Physician Assistant
  • Bremerton, WA
National Provider Identifier
1497481204
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1206949 Issued in WA
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

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1206949OtherWAPA-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824003119 WA Practitioner - Physician Assistant 2961865852 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1206949WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince Sep 11, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.