BICYCLE HEALTH MEDICAL GROUP PA
Complete NPI Record 1194342162
Family Medicine - Addiction Medicine in Seattle, WA
Active since June 25, 2020CLIA Certified · 20 labs
506 SECOND AVENUE, SUITE 1400, OFFICE 1515, SEATTLE, WA 98104(844) 943-2514(628) 777-2580 Get Directions
Complete NPI Dataset
This page contains the complete raw NPPES record for Bicycle Health Medical Group Pa (NPI 1194342162), a family medicine organization in Seattle, WA. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1194342162 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: BICYCLE HEALTH MEDICAL GROUP PA Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: P.O. BOX 32750 Field 5/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BELFAST Field 6/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: ME Field 7/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 04915 Field 8/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8449432514 Field 10/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 506 SECOND AVENUE Field 11/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 1400, OFFICE 1515 Field 12/31
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SEATTLE Field 13/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: WA Field 14/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 98104 Field 15/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8449432514 Field 17/31
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 6287772580 Field 18/31
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: CLEAR Field 21/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: BRIAN Field 22/31
- The first name of the authorized official.
- Authorized Official Middle Name: ROBERT Field 23/31
- The middle name of the authorized official.
- Authorized Official Title or Position: MEDICAL DIRECTOR Field 24/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4159287800 Field 25/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207QA0401X Field 26/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: MD Field 29/31
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 30/31
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 35
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1500 K Street, 2nd Floor, Office 262
Location 1/35Washington, DC 20005 · Phone (844) 943-2514
1580 N Logan St Fl 6
Location 2/35Denver, CO 80203-1939 · Phone (844) 943-2514
4819 Emperor Boulevard, Suite 400, Office 486
Location 3/35Durham, NC 27703 · Phone (844) 943-2514
10 Canebrake Blvd, Suite 110, Office 201
Location 4/35Flowood, MS 39232 · Phone (844) 943-2514
444 South Center St, Office 1
Location 5/35Casper, WY 82601 · Phone (844) 943-2514
100 S. Ashley Drive, Suite 600, Office 607
Location 6/35Tampa, FL 33602 · Phone (844) 943-2514
6901 W EMERALD ST, STE 203A
Location 7/35BOISE, ID 83704 · Phone (844) 943-2514
9788 Gilespie St, Suite D-415
Location 8/35Las Vegas, NV 89183 · Phone (844) 943-2514
4145 S.W. Watson, Suite 350, Office 354
Location 9/35Beaverton, OR 97005 · Phone (844) 943-2514
5 West Mendenhall Street, Suite 202, Office 236
Location 10/35Bozeman, MT 59715 · Phone (844) 943-2514
331 E. Main Street, Suite 200, Office 262
Location 11/35Rock Hill, SC 29730 · Phone (844) 943-2514
699 Walnut Street, 4th Floor, Office 419
Location 12/35Des Moines, IA 50309 · Phone (844) 943-2514
332 S Michigan Ave, Suite 800 & 900, Office 9128
Location 13/35Chicago, IL 60604 · Phone (844) 943-2514
150 Washington Avenue, Suite 201, Office, 222
Location 14/35Santa Fe, NM 87501 · Phone (844) 943-2514
1000 Lafayette Blvd, Suite 1100, Office 1139
Location 15/35Bridgeport, CT 06604 · Phone (844) 943-2514
101 S. Reid Street, Suite 307, Room 308
Location 16/35Sioux Falls, SD 57103 · Phone (844) 943-2514
2021 Guadalupe St Ste 260
Location 17/35Austin, TX 78705-5654 · Phone (844) 943-2514
2001 Market Street, Office 2521
Location 18/35Philadelphia, PA 19103 · Phone (844) 943-2514
1299 Farnam Street, Suite 300, Office 358
Location 19/35Omaha, NE 68102 · Phone (844) 943-2514
41000 Woodward Avenue, Suite 350 East, Office 389
Location 20/35Bloomfield Hills, MI 48304 · Phone (844) 943-2514
232 Capitol St, Office 205
Location 21/35Charleston, WV 25301 · Phone (844) 943-2514
18 Pleasant Street, Office 112
Location 22/35Brunswick, ME 04011 · Phone (844) 943-2514
194 Main St
Location 23/35Newport, VT 05855-6104 · Phone (844) 943-2514
800 E. 101st Terrace,, Office 350
Location 24/35Kansas City, MO 64131 · Phone (844) 943-2514
1531 32nd Ave. S., Suite 102, Office 124
Location 25/35Fargo, ND 58103 · Phone (844) 943-2514
860 Blue Gentian Road, Suite 200, Office 202
Location 26/35Eagan, MN 55121 · Phone (844) 943-2514
201 North Illinois Street, 16th Floor South Tower, Office 1606
Location 27/35Indianapolis, IN 46204 · Phone (844) 943-2514
2415 East Camelback Road, Suite 700, Room 714
Location 28/35Phoenix, AZ 85016 · Phone (844) 943-2514
11810 Grand Park Ave, Suite 500, Office 572
Location 29/35North Bethesda, MD 20852-8679 · Phone (844) 943-2514
68 Harrison Ave Ste 600, Room 11
Location 30/35Boston, MA 02111 · Phone (844) 943-2514
200 Continental Drive, Suite 401, Office 412
Location 31/35Newark, DE 19713 · Phone (844) 943-2514
10150 W National Ave, 2nd Floor, Office 223
Location 32/35Milwaukee, WI 53227 · Phone (844) 943-2514
8200 Greensboro Dr Ste 900
Location 33/35Mc Lean, VA 22102-4931 · Phone (844) 943-2514
2700 Corporate Drive, Suite 200, Office 220
Location 34/35Birmingham, AL 35242 · Phone (844) 943-2514
500 Ala Moana Blvd, Suite 7400, Office 426
Location 35/35Honolulu, HI 96813 · Phone (844) 943-2514
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