Unknown Individual – Cardiovascular Disease Physician, NPI 1417989906
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2709, Hemlock Street, Sheridan Park, Bremerton, Kitsap County, Washington, 98310, United States
BREMERTON, WA 983102623
Phone: (360) 373-2547
Fax: (360) 479-8268
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98310)
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