W Bradford Hepworth DDS MD Ms PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

W BRADFORD HEPWORTH DDS MD MS PC

Practice address

380 Ericksen Ave NE
Bainbridge Island, WA 98110-1854

Phone

(206) 842-8135

Fax

(206) 842-2501

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

William B Hepworth, MD, DDS, MS

Title

President

Phone

(206) 842-8135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1891081212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11680",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105680",
            "telephone_number": "206-842-8135",
            "fax_number": "206-842-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ERICKSEN AVE NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101854",
            "telephone_number": "206-842-8135",
            "fax_number": "206-842-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRADFORD HEPWORTH DDS MD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "HEPWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-842-8135",
        "authorized_official_credential": "MD, DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walgreen Co (Walgreens #15673)
• Stephen Anderson Walker
• Beverly Beckwith Walsh, LCSW-C; LICSW; PH.D.
• Frederick Charles Walters, MD

• Oral and Maxillofacial Surgery Clinic/Center in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.