KITSAP COLORECTAL SURGERY INC PS
NPI 1245566348
Surgery in Bremerton, WA

Active since October 23, 2009
2528 WHEATON WAY, SUITE 103, BREMERTON, WA 98310(360) 377-4717(360) 377-4134 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kitsap Colorectal Surgery Inc Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KITSAP COLORECTAL SURGERY INC PS (NPI 1245566348) is a healthcare organization registered as a surgery in Bremerton, Washington and active in the NPI registry since October 2009. The organization lists Johnny B Green, President, as its authorized official.

NPPES Registry Identity

NPI1245566348
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKITSAP COLORECTAL SURGERY INC PS
Location Address2528 WHEATON WAY, SUITE 103Bremerton, WA 98310-3305
Mailing Address2528 Wheaton Way, Suite 103Bremerton, WA 98310-3305 · (360) 377-4717 · Fax (360) 377-4134
Fax(360) 377-4134
Organization SubpartNo
Authorized OfficialJohnny B GreenPresident · (360) 377-4717
Enumeration DateOctober 23, 2009
NPI 1245566348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · 35113
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 35113 (WA)
2528 WHEATON WAY, Bremerton, WA 98310

Other Identifiers 2

Medicare UPINAB09886WA
Medicaid1109032WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2528 WHEATON WAY, SUITE 103
BREMERTON, WA 98310
Counselor (Mental Health)
2528 WHEATON WAY, STE 104
BREMERTON, WA 98310
Physical Medicine & Rehabilitation
2528 WHEATON WAY, SUITE 206
BREMERTON, WA 98310
Social Worker (Clinical)
2528 WHEATON WAY, SUITE 104
BREMERTON, WA 98310
Dermatology
2528 WHEATON WAY, # 204
BREMERTON, WA 98310
Counselor (Addiction (Substance Use Disorder))
2528 WHEATON WAY, STE 106
BREMERTON, WA 98310
Surgery (Vascular Surgery)
2528 WHEATON WAY, SUITE 101
BREMERTON, WA 98310
Family Medicine
2528 WHEATON WAY, SUITE 105
BREMERTON, WA 98310

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 Kitsap Colorectal Surgery Inc Ps's NPI number?

The NPI number for Kitsap Colorectal Surgery Inc Ps is 1245566348. It was assigned to this organization in the NPPES registry on October 23, 2009.

Where is Kitsap Colorectal Surgery Inc Ps located?

Kitsap Colorectal Surgery Inc Ps is located at 2528 Wheaton Way Suite 103, Bremerton, WA 98310. The listed phone number is (360) 377-4717.

What is Kitsap Colorectal Surgery Inc Ps's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kitsap Colorectal Surgery Inc Ps was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.