Robert Bruce Baucke, MD
Individual provider Active NPI Internal Medicine Physician · Kent, WA
NPI 1720007164 · NPPES record last updated Feb 18, 2010
Key facts
- NPI
- 1720007164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD00022872 (WA)
- Practice address
- 222 State Ave N
Kent, WA 98030-4544 - Phone
- (253) 372-7866
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Past | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00022872 | WA | Yes |
Addresses
Primary practice location
222 State Ave N
Kent, WA 98030-4544
Mailing address
PO Box 5299
Tacoma, WA 98415-0299
Other providers in Kent, WA
- Barry a Quam DC PS
- Sarah E Bartholomew
- Jean-Luke Bartlett
- Inna Barvinenko
- Sara Barbara Basil
- Lauren Elizabeth Bauer
- Nicole Joyce D Lasquete Bautista
- Jeffrey W Baxter
- John G Beack
- Imelda Dizon Beal
All providers in Kent, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.