Roy William Bartlett, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OP00000732 Issued in WA

Practice address

14050 Juanita Dr NE
Suite a
Bothell, WA 98011-5312

Phone

(425) 820-2020

Fax

(425) 821-9576

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Roy Bartlett DO PS

  • Ophthalmology Physician
  • Bothell, WA
  • NPI 1356551329
  NPD (past) Authorized official
• Mayemura, Inc.

  • Optometrist
  • Bothell, WA
  • NPI 1427299056
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1689664948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115312",
            "telephone_number": "425-820-2020",
            "fax_number": "425-821-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115312",
            "telephone_number": "425-820-2020",
            "fax_number": "425-821-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "ROY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP00000732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004122615",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "7550BA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM",
            "identifier": "911087550AA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074817",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121102",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "911087550 98011 B001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "144150144150",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarina Rose Barnes, LMP
• Lee Edward Barnhart, OD
• Mark Lee Barrett, D.C.
• Christina Barrows, M.S., LMFT
• Deanna L Barthel, AGNP
• Douglas C Barton, O.D.
• Ngan Anh Barton
• Bernadette Bascom
• Marina Basily, RPH
• Krista Battrick

• Surgery Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.