DR. BRUCE KENT WEATHERS M.D. NPI 1336339225

NPI Information

NPI: 1336339225
Provider Name: DR. BRUCE KENT WEATHERS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-EDME
9040 REID STREET
TACOMA, WA
ZIP 98431
Phone: (253) 968-0354
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DR. Bruce Kent Weathers, M.D. is a general practice in Tacoma, WA. DR. Bruce Kent Weathers, M.D. NPI is 1336339225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-EDME
9040 REID STREET
TACOMA, WA
ZIP 98431-100
Phone: (253) 968-0354
Fax: (253) 968-5926

The NPI 1336339225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		D52840	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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