Active NPI
Kitsap Cardiology Consultants, P.L.L.C.
- Cardiovascular Disease Physician
- Bremerton, WA
National Provider Identifier
1881652147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7068836 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Bremerton, WA
- NPI 1215952247
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.