NPIMap

Organization Active NPI

David Gent & Associates PS

  • Foot & Ankle Surgery Podiatrist
  • Bremerton, WA
National Provider Identifier
1992787006
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000724 Issued in WA
Legal business name
DAVID GENT & ASSOCIATES PS
Practice address
900 Sheridan Rd
Suite 101
Bremerton, WA 98310-2701
Phone
(360) 377-2233
Fax
(360) 377-9131
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
David Monroe Gent, D.P.M.NPI 1205818069
Title
President/Doctor
Phone
(360) 377-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO00000724 WA Primary

Addresses

Primary practice location

900 Sheridan Rd
Suite 101
Bremerton, WA 98310-2701

Mailing address

900 Sheridan Rd
Suite 101
Bremerton, WA 98310-2701
Phone (360) 377-2233

Other identifiers 4

IdentifierTypeStateIssuer
DE1936OtherRR MEDICARE
KI1031OtherREGENCE BLUE SHIELD
162312OtherWA L&I
7135809MedicaidWA

Other names 1

  • KITSAP FOOT & ANKLE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050714000347 WA Part B Supplier - Clinic/Group Practice 7719913342 Receives reassigned benefits from 2 practitioners
Practice locations: Bremerton, WA; Port Orchard, WA
O20100930048014 WA DME Supplier - Physician - Podiatry 7719913342 Practice locations: Bremerton, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1992787006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN RD",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-377-2233",
            "fax_number": "360-377-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHERIDAN RD",
            "address_2": "SUITE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102701",
            "telephone_number": "360-377-2233",
            "fax_number": "360-377-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GENT & ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "GENT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "360-377-2233",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE1936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "KI1031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "162312",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135809",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KITSAP FOOT & ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.