JONATHAN DAVID HICKMAN
NPI 1750900304
Internal Medicine in Bremerton, WA

Q: What is Jonathan Hickman's NPI number?

The NPI number for Jonathan Hickman is 1750900304. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Jonathan Hickman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Hickman was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 14, 2020PECOS Enrolled

1 BOONE RD, BREMERTON, WA 98312(360) 475-5070 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2022, Nov 29, 2021, Apr 14, 2020 (3 updates tracked since 2020).

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About Jonathan David Hickman NPPES

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

JONATHAN DAVID HICKMAN (NPI 1750900304) is an individual internal medicine provider in Bremerton, Washington, licensed in Virginia (0102206735) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750900304

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJONATHAN DAVID HICKMAN

Location Address1 BOONE RDBremerton, WA 98312-1898

Mailing Address1 Boone RdBremerton, WA 98312-1894 · (360) 475-5070

Phone(360) 475-5070

Sole ProprietorNo

Enumeration DateApril 14, 2020

Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1750900304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0102206735

Definition

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.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0102206735 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 BOONE RD, Bremerton, WA 98312

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Secondary Practice Locations 2

Location 1NMCP 620 John Paul Jones Cir., BLDG 3Portsmouth, VA 23708 · Phone (757) 953-2339

Location 2Naval Hospital Yokosuka Japan, PSC 475 Bx1FPO, AP 96350-1200 · Phone (046) 816-7144

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan David Hickman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KAREN LOUISE BRAMER-FORTIER MD

Family Medicine