BREMERTON VASCULAR IMAGING LLC
NPI 1104773126
Clinic/Center in Bremerton, WA
About Bremerton Vascular Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREMERTON VASCULAR IMAGING LLC (NPI 1104773126) is a healthcare organization registered as a clinic/center in Bremerton, Washington and active in the NPI registry since March 2026. The organization lists Brooke Jackson, Authorized Official / Sonographer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bremerton Vascular Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bremerton Vascular Imaging LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bremerton Vascular Imaging LLC's NPI number?
The NPI number for Bremerton Vascular Imaging LLC is 1104773126. It was assigned to this organization in the NPPES registry on March 11, 2026.
Where is Bremerton Vascular Imaging LLC located?
Bremerton Vascular Imaging LLC is located at 5610 Kitsap Way Ste 365, Bremerton, WA 98312. The listed phone number is (541) 760-8214.
What is Bremerton Vascular Imaging LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Bremerton Vascular Imaging LLC enrolled in Medicare?
Yes. Bremerton Vascular Imaging LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bremerton Vascular Imaging LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Bremerton Vascular Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bremerton Vascular Imaging LLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Bremerton Vascular Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bremerton Vascular Imaging LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bremerton Vascular Imaging Llc · NPI 1104773126
Clinic/Center organization in Bremerton, Washington. Organization record, active in the CMS NPPES registry since March 11, 2026.
## Identity
- **NPI:** 1104773126 (Entity type: Organization)
- **Enumerated:** March 11, 2026
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Brooke Jackson, AUTHORIZED OFFICIAL / SONOGRAPHER
## Practice location
- **Address:** 5610 KITSAP WAY STE 365, Bremerton, WA 98312-2266
- **Phone:** (541) 760-8214
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104773126) · Data from the CMS NPPES public registry.