North Kitsap Pediatrics P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OP00000700 Issued in WA

Legal business name

NORTH KITSAP PEDIATRICS P.S.

Practice address

20730 Bond Rd NE
#208
Poulsbo, WA 98370-9000

Phone

(360) 779-7337

Fax

(360) 779-7054

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernie Jay Brown, D.O.NPI 1912079963

Title

Owner

Phone

(360) 779-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernie Jay Brown, DO

  • Pediatrics Physician
  • Poulsbo, WA
  • NPI 1912079963
  NPD (past) Authorized official
• Wendy Zeeben Hawley, MD

  • Pediatrics Physician
  • Poulsbo, WA
  • NPI 1649342692
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1730208026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE",
            "address_2": "#208",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-779-7337",
            "fax_number": "360-779-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE",
            "address_2": "#208",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-779-7337",
            "fax_number": "360-779-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH KITSAP PEDIATRICS P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "OP00000700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072347",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan K Nightingale, AUD
• Andrew Glen Noble, O.D.
• North Kitsap Ambulatory Surgery Center, LLC (Pacific Surgery Center)
• North Kitsap Ear Nose & Throat Clinic
• North Kitsap Family Practice and Urgent Care P.S.
• North Kitsap School District
• North Peninsula Chiropractic
• North Peninsula Physical Therapy, PLLC (DaVinci Physical Therapy)
• Donald Warren Novey, MD
• Nurturing Expressions LLC

• Specialist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.