Unknown Individual – Emergency Medicine Physician, NPI 1578788329

Unknown Individual is a healthcare provider. based in Bremerton, Washington. specializing in Emergency Medicine Physician. They hold a License No. MD00028334 (WA). The NPI Number for Unknown Individual is 1578788329

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578788329
Phone
(360) 792-6610
Address
2520 CHERRY AVE
Deactivation Date
14 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2520 CHERRY AVE

    HARRISON MEDICAL CENTER

    BREMERTON, WA 98310

    Phone: (360) 792-6610

    Fax: (360) 744-6188

    Type: Mailing

  • 450 SO. KITSAP BLVD

    SUITE 100

    PORT ORCHARD, WA 98366

    Phone: (360) 744-6275

    Fax: (360) 744-6270

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98310)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1578788329 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Bremerton, Washington may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

PHILLIP DEAN HUNT (MD)

Emergency Medicine Physician
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
NPI: 1437155587

DR. JAMES W ZACOVIC (M.D.)

Emergency Medicine Physician
St. Michael Medical Center Bremerton, 2520, Cherry Avenue, Bremerton, Kitsap County, Washington, 98310, United States
NPI: 1780660498

DR. JOHN WHITING SISSON (MD)

Emergency Medicine Physician
742 LEBO BLVD STE A
NPI: 1386623791

DR. DENIS ASHLEY (D.O.)

Emergency Medicine Physician
St. Michael Medical Center Bremerton, 2520, Cherry Avenue, Bremerton, Kitsap County, Washington, 98310, United States
NPI: 1396725867

WILLIAM M ROBERTS (M.D.)

Emergency Medicine Physician
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
NPI: 1023098365

LEWIS JAY MILLER (D.O.)

Emergency Medicine Physician
108, Northeast Cherry Lane, North Albany, Albany, Benton County, Oregon, 97321, United States
NPI: 1366413601

DR. ELIZABETH A GRAY (M.D.)

Emergency Medicine Physician
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
NPI: 1316918410

DR. RANDY L BALDWIN (MD)

Emergency Medicine Physician
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
NPI: 1093789471

JOHN EDWARD DEORDIO (M.D.)

Emergency Medicine Physician
18800, Noll Road Northeast, Woodcreek Apartments, Poulsbo, Kitsap County, Washington, 98370, United States
NPI: 1942276142