NPIMap

Organization Active NPI

Madigan Army Medical Center

  • General Practice Physician
  • Tacoma, WA
National Provider Identifier
1871703256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01063325A Issued in IN
Legal business name
MADIGAN ARMY MEDICAL CENTER
Practice address
9040 Reid Street
Madigan Army Medical Center Attn MCHJ-Edme
Tacoma, WA 98431-0001
Phone
(253) 968-0354
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lionel Richard Brounts, MD
Title
Surgeon
Phone
(253) 968-3105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01063325A IN Primary

Addresses

Primary practice location

9040 Reid Street
Madigan Army Medical Center Attn MCHJ-Edme
Tacoma, WA 98431-0001

Mailing address

18304 11TH Avenue CT E
Spanaway, WA 98387-1930

National Provider Directory

National Provider Directory
Tax ID family
US Army42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871703256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18304 11TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983871930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 REID STREET",
            "address_2": "MADIGAN ARMY MEDICAL CENTER ATTN MCHJ-EDME",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUNTS",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "253-968-3105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01063325A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.