Active NPI
Kirk D Gulden, MD
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1700996436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24251
- Practice address
- 2075 Barkley Blvd Ste 105
Bellingham, WA 98226-6614 - Phone
- (360) 617-3345
- Fax
- (360) 671-1354
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24251 | NC | Primary |
Addresses
Primary practice location
2075 Barkley Blvd Ste 105
Bellingham, WA 98226-6614
Mailing address
709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Phone (360) 318-8800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8937872 | Medicaid | NC | |
| 8949517 | Other | WA | L&I CRIME VICTIMS |
| 6436GU | Other | WA | REGENCE |
| 8527533 | Medicaid | WA | |
| 9553 | Other | PARTNERS | |
| 0242968 | Other | WA | L&I |
| 37872 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1700996436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR STE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800",
"fax_number": "360-318-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 BARKLEY BLVD STE 105",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982266614",
"telephone_number": "360-617-3345",
"fax_number": "360-671-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULDEN",
"first_name": "KIRK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "24251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8937872",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8949517",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "6436GU",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8527533",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "9553",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0242968",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37872",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.