Active NPI
Camille Amede Eggebroten
- Occupational Medicine Physician
- Silverdale, WA
National Provider Identifier
1790131316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 0101262861
- Practice address
- 2050 Barb St Ste a
Silverdale, WA 98315-2050 - Phone
- (360) 315-4346
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Military Health Care Provider | 171000000X | |||
| Occupational Medicine Physician | 2083X0100X | 0101262861 | VA | Primary |
Addresses
Primary practice location
2050 Barb St Ste a
Silverdale, WA 98315-2050
Mailing address
1 Boone Rd
Bremerton, WA 98312-1894
Phone (360) 475-4000
Other practice location 1
220 Hovey Rd
Pensacola, FL 32508-1044
Phone (850) 452-9484
Other practice location 2
Naval Medical Ctr
34800 Bob Wilson Drive
San Diego, CA 92134-5000
Phone (619) 532-7935
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101262861 | VA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1790131316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BOONE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983121894",
"telephone_number": "360-475-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 BARB ST STE A",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983152050",
"telephone_number": "360-315-4346"
}
],
"practiceLocations": [
{
"address_1": "220 Hovey Rd",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325081044",
"country_code": "US",
"telephone_number": "850-452-9484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Naval Medical Ctr",
"address_2": "34800 Bob Wilson Drive",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921345000",
"country_code": "US",
"telephone_number": "619-532-7935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGGEBROTEN",
"first_name": "CAMILLE",
"middle_name": "AMEDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "VA",
"license": "0101262861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.