Individual provider Active NPI

Brice R Nicholson, DO

  • Ophthalmology Physician
  • Bremerton, WA
National Provider Identifier
1508837584
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OP 60251025 Issued in WA
Practice address
1 Boone Rd
Naval Hospital Bremerton
Bremerton, WA 98312
Phone
(360) 475-4686
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OP 60251025 WA Primary

Addresses

Primary practice location

1 Boone Rd
Naval Hospital Bremerton
Bremerton, WA 98312

Mailing address

1 Boone Rd
Bremerton, WA 98312
Phone (360) 475-4295

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
I20120423000429 WA Practitioner - Ophthalmology 8022279892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, shared by 5 NPIs, 33 clinicians

Practice addresses (Care Compare)

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP 60251025WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC Ophthalmology CurrentSince Aug 1, 2014 Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Aug 20, 2014 Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Aug 1, 2014 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Current Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients

Locations

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

502 S M St
Tacoma, WA 98405
Phone (253) 301-4953

Interoperability endpoints

  • Direct secure messaging: bnicholson@cepwa-eec.emadirect.md

Organizations & group practices 6

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1508837584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98312",
            "telephone_number": "360-475-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "address_2": "NAVAL HOSPITAL BREMERTON",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98312",
            "telephone_number": "360-475-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "BRICE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "OP 60251025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.