BREMERTON VASCULAR IMAGING LLC
NPI 1104773126
Clinic/Center in Bremerton, WA

NPI Status: Active since March 11, 2026

Contact Information

5610 KITSAP WAY STE 365
BREMERTON, WA
ZIP 98312
Phone: (541) 760-8214

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  • Organization
  • Clinic/Center

About BREMERTON VASCULAR IMAGING LLC

This page provides the complete NPI Profile along with additional information for Bremerton Vascular Imaging Llc, a provider established in Bremerton, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104773126 assigned on March 2026. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Brooke Jackson (Owner)

NPI
1104773126
Provider Name
BREMERTON VASCULAR IMAGING LLC
Entity Type
Organization
Location Address
5610 KITSAP WAY STE 365 BREMERTON, WA 98312
Location Phone
(541) 760-8214
Mailing Address
5610 KITSAP WAY STE 365 BREMERTON, WA 98312
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2026
Last Update Date
05-21-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BROOKE JACKSON

Authorized Official Title
OWNER
Authorized Official Phone
(541) 760-8214

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104773126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 7 + 6 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104773126.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiologic Technologist (Vascular Sonography)
5610 KITSAP WAY STE 365
BREMERTON, WA 98312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104773126, enumerated as an "organization" on March 11, 2026.

The provider is located at 5610 KITSAP WAY STE 365 BREMERTON, WA 98312 and the phone number is (541) 760-8214.

Clinic/Center with taxonomy code 261Q00000X.