Organization Active NPI

Kitsap Cardiology Consultants, P.L.L.C.

  • Cardiovascular Disease Physician
  • Bremerton, WA
National Provider Identifier
1881652147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KITSAP CARDIOLOGY CONSULTANTS, P.L.L.C.
Practice address
2709 Hemlock St
Bremerton, WA 98310-2623
Phone
(360) 373-2547
Fax
(360) 479-8268
NPI assigned
May 3, 2006
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
Mrs. Mary F Berglind
Title
Clinic Administrator
Phone
(360) 373-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2709 Hemlock St
Bremerton, WA 98310-2623

Mailing address

2709 Hemlock St
Bremerton, WA 98310-2623
Phone (360) 373-2547

Other identifiers 1

IdentifierTypeStateIssuer
7068836MedicaidWA

National Provider Directory

National Provider Directory

Locations

450 S Kitsap Blvd
Ste 160
Port Orchard, WA 98366
Phone (360) 616-0543

19365 7th Ave NE
Ste 104
Poulsbo, WA 98370
Phone (360) 779-4428

540 W Hendrickson Rd
Sequim, WA 98382
Phone (360) 683-5215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881652147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 HEMLOCK ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102623",
            "telephone_number": "360-373-2547",
            "fax_number": "360-479-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 HEMLOCK ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102623",
            "telephone_number": "360-373-2547",
            "fax_number": "360-479-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP CARDIOLOGY CONSULTANTS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGLIND",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "360-373-2547",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068836",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, 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.