NPI Details
Kyle M Bogusz, DO is an internal medicine in Poulsbo, WA with 5 years of experience. 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. Kyle M Bogusz, DO NPI is 1689253650. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduation Year:2021
The provider's business location address is:
22180 OLYMPIC COLLEGE WAY NW STE 102
POULSBO, WA
ZIP 98370-664
Phone: (360) 779-4444
Fax: (360) 697-2514
The NPI 1689253650 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 4/6/2021 and was last updated on 11/8/2024.
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 | 207R00000X | Internal Medicine | | OP61555946 | WASHINGTON | Yes |
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 |
| 1 | 2299844 | MEDICAID | WASHINGTON | |
