Catalpa Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CATALPA CLINIC PLLC

Doing business as

Catalpa Clinic

Practice address

2528 Wheaton Way Ste 203
Bremerton, WA 98310-3305

Phone

(360) 362-0170

Fax

(360) 995-0304

NPI assigned

Jan 31, 2022

Last updated

Dec 5, 2022By 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. Bryan Edmund Wooldridge Jr., MDNPI 1093153983

Title

Family Physician

Phone

(360) 362-0170

Specialties & licenses 1

Addresses

Other names 1

• Catalpa Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Bryan Edmund Wooldridge Jr., MD

  • Family Medicine Physician
  • Bremerton, WA
  • NPI 1093153983
  Medicare reassignment NPD Authorized official
• Monica Hurst, PA-C

  • Physician Assistant
  • Bremerton, WA
  • NPI 1740707512
  NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1881347706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103305",
            "telephone_number": "360-362-0170",
            "fax_number": "360-995-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 WHEATON WAY STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103305",
            "telephone_number": "360-362-0170",
            "fax_number": "360-995-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALPA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "360-362-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalpa Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catalpa Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Castillo
• Jasmine Castorena
• Cheryl Querimit Castro
• Jennalyn Castro
• Stephanie Castro
• Catholic Community Services of Western Washington
• Rowena Catmunam
• Christian Cattau, PA-C
• Mary C Caughell
• Robert Lee Caulkins, D.O.

• Primary Care Clinic/Center in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.