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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NPI Details

DR. Bruce Kent Weathers, M.D. is a general practice in Tacoma, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee 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
1208D00000XGeneral PracticeD52840MARYLANDYes

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: 11/21/2025

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