Active NPI
William Bruce Marshall, CRNA
- Certified Registered Nurse Anesthetist
- Fort Lewis, WA
National Provider Identifier
1821082496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN00119501
- Practice address
- Fitzsimmons Drive
Building Number 9040
Fort Lewis, WA 98431 - Phone
- (253) 968-0062
- NPI assigned
- Sep 9, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN00119501 | WA | Primary |
Addresses
Primary practice location
Fitzsimmons Drive
Building Number 9040
Fort Lewis, WA 98431
Mailing address
5709 71St Avenue CT W
University Place, WA 98467-4905
Phone (253) 566-1862
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 |
|---|---|---|---|
| RN00119501 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821082496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 71ST AVENUE CT W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984674905",
"telephone_number": "253-566-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FITZSIMMONS DRIVE",
"address_2": "BUILDING NUMBER 9040",
"city": "FORT LEWIS",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "WILLIAM",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "RN00119501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lewis, WA
- Madigan Army Medical Ctr (Usadc Ft. Lewis Okubo)
- Madigan Army Medical Ctr (Usadc Ft. Lewis Fulton)
- Madigan Army Medical Ctr (Usadc Ft. Lewis Cdi)
- Madigan Army Medical Ctr (Winder Family Medical CL-JBLM)
- Madigan Army Medical Ctr (Usadc Ft. Lewis 2)
- Robin Delaine McGowan, PA-C
- Colin Kelly Miller, MD
- Scot K Mohr, PHYSICIAN ASSISTNAT
- Lori Moore
- National Vision, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.