Bernie Jay Brown, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OP00000700 Issued in WA

Practice address

20730 Bond Rd NE
#208
Poulsbo, WA 98370-9000

Phone

(360) 779-7337

Fax

(360) 779-7054

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Kitsap Pediatrics P.S.

  • Specialist
  • Poulsbo, WA
  • NPI 1730208026
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912079963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE",
            "address_2": "#208",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-779-7337",
            "fax_number": "360-779-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE",
            "address_2": "#208",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-779-7337",
            "fax_number": "360-779-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BERNIE",
        "middle_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP00000700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072347",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Garoutte Brislin, OTR/L
• Scott A Broadbent, D.D.S.
• Jeffrey Brodie, M.D.
• Michael D Brooks, D.M.D., M.S.
• Erin Allen Brower, MA,LMHC,CE
• Charles R Brown, D.D.S
• Kaitlyn Brumbaugh
• Lydia Bruni
• Holly Elizabeth Bullion, FNP-C
• Erika Bulnes, CDPT

• Pediatrics Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.