MICHAEL J GANNON M.D. NPI 1366582710

NPI Information

  • NPI: 1366582710
  • Provider Name: MICHAEL J GANNON, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 2741 WHEATON WAY
    BREMERTON, WA
    ZIP 98310
  • Phone: (360) 782-1800

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NPI Details

Michael J Gannon, M.D. is an internal medicine in Bremerton, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Michael J Gannon, M.D. NPI is 1366582710. 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:

2741 WHEATON WAY
BREMERTON, WA
ZIP 98310-344
Phone: (360) 782-1800

The enumeration date for this NPI number is 2/7/2007 and was last updated on 9/10/2009.

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
1207R00000XInternal MedicineMD00034351WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GAB13666MEDICARE PINWASHINGTON
2GAB13664MEDICARE PINWASHINGTON
38211765MEDICAIDWASHINGTON
4GAB01387MEDICARE PINWASHINGTON
5G55278MEDICARE UPINWASHINGTON
6GAB13665MEDICARE PINWASHINGTON
7P00732101OTHERWASHINGTONMEDICARE RAILROAD
8GAB28921MEDICARE PINWASHINGTON
9G8872333MEDICARE PINWASHINGTON
10GAB13663MEDICARE PINWASHINGTON

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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