DR. JULIAN L GENDREAU MD
NPI 1801417795
General Practice in Tacoma, WA

Q: What is Julian Gendreau's NPI number?

The NPI number for Julian Gendreau is 1801417795. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Julian Gendreau's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Julian Gendreau was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 01, 2020PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(706) 669-3989 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Julian L Gendreau Md NPPES

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

DR. JULIAN L GENDREAU MD (NPI 1801417795) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (0101273153) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801417795

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JULIAN L GENDREAUCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431-5650

Mailing Address300 East Hospital RoadFort Gordon, GA 30905-5650

Phone(706) 669-3989

Sole ProprietorNo

Enumeration DateMay 1, 2020

Last NPPES UpdateSeptember 26, 2022

NPPES CertifiedSeptember 26, 2022

✔ NPI 1801417795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101273153

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9040 JACKSON AVE, Tacoma, WA 98431

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Julian L Gendreau Md 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.

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered