Organization Active NPI

Kitsap Urology Associates, PC

  • Urology Physician
  • Bremerton, WA
National Provider Identifier
1699875377
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD00023945 Issued in WA
Legal business name
KITSAP UROLOGY ASSOCIATES, PC
Practice address
2500 Cherry Ave
Suite 301
Bremerton, WA 98310-4202
Phone
(360) 377-0049
Fax
(360) 792-0446
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. John C Hedges, M.D.NPI 1134221658
Title
President
Phone
(360) 377-0049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD00023945 WA Primary

Addresses

Primary practice location

2500 Cherry Ave
Suite 301
Bremerton, WA 98310-4202

Mailing address

2500 Cherry Ave
Suite 301
Bremerton, WA 98310-4202
Phone (360) 377-0049

National Provider Directory

National Provider Directory

Locations

2500 Cherry Ave
Ste 301
Bremerton, WA 98310
Phone (360) 377-0049

2500 Cherry Ave
#301
Bremerton, WA 98310
Phone (360) 377-0049

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1699875377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE",
            "address_2": "SUITE 301",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-377-0049",
            "fax_number": "360-792-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE",
            "address_2": "SUITE 301",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-377-0049",
            "fax_number": "360-792-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP UROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-377-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00023945",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2007; 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.