Active NPI
Scott A Bildsten, DO
- Urology Physician
- Port Orchard, WA
National Provider Identifier
1861594384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OP00001711
- Practice address
- 451 SW Sedgwick Rd Ste 220
Port Orchard, WA 98367-6447 - Phone
- (360) 874-7300
- Fax
- (360) 874-7319
- NPI assigned
- Sep 4, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | OP00001711 | WA | Primary |
Addresses
Primary practice location
451 SW Sedgwick Rd Ste 220
Port Orchard, WA 98367-6447
Mailing address
451 SW Sedgwick Rd Ste 220
Port Orchard, WA 98367-6447
Phone (360) 874-7300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264450 | Other | WA | STATE L&I |
| 0264427 | Other | WA | STATE L&I |
| 0264446 | Other | WA | STATE L&I |
| 0291738 | Other | WA | STATE L&I |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025207 | WA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Urology Associates, PC | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Bremerton, WA
- NPI 1699875377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1861594384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SW SEDGWICK RD STE 220",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983676447",
"telephone_number": "360-874-7300",
"fax_number": "360-874-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SW SEDGWICK RD STE 220",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983676447",
"telephone_number": "360-874-7300",
"fax_number": "360-874-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILDSTEN",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "OP00001711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264450",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264427",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0264446",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0291738",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.