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PENINSULA PAIN CLINIC, PLLC
NPI 1912376005
Clinic/Center - Pain in Bremerton, WA

Active since September 18, 2015
2601 CHERRY AVE STE 200, BREMERTON, WA 98310(360) 415-9110(360) 479-0265 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Pain Clinic, Pllc NPPES

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

PENINSULA PAIN CLINIC, PLLC (NPI 1912376005) is a healthcare organization registered as a pain in Bremerton, Washington and active in the NPI registry since September 2015. The organization lists Terry Pexton, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912376005
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePENINSULA PAIN CLINIC, PLLC
Location Address2601 CHERRY AVE STE 200Bremerton, WA 98310-4208
Mailing Address2980 N Beverly Glen Cir Ste 100Los Angeles, CA 90077-1728 · (310) 943-4180 · Fax (888) 431-8819
Phone(360) 415-9110
Fax(360) 479-0265
Organization SubpartYes
Authorized OfficialTerry PextonMedical Director · (360) 415-9110
Enumeration DateSeptember 18, 2015
Last NPPES UpdateJuly 22, 2019
✔ NPI 1912376005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X · License OP60339103 (WA)
2601 CHERRY AVE STE 200, Bremerton, WA 98310
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

MR. VAUGHN THEODORE HOWE P.A.
Physician Assistant (Medical)
2601 CHERRY AVE STE 200
BREMERTON, WA 98310
Kitsap County (360) 415-9110
DR. JESSETT TYLER POCUIS DNP, ARNP
Nurse Practitioner (Adult Health)
2601 CHERRY AVE STE 200
BREMERTON, WA 98310
Kitsap County (360) 415-9110
MARISA LYNNE BOUQUET
Nurse Practitioner
2601 CHERRY AVE STE 200
BREMERTON, WA 98310
Kitsap County (225) 281-5649

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 Peninsula Pain Clinic, PLLC's NPI number?

The NPI number for Peninsula Pain Clinic, PLLC is 1912376005. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Peninsula Pain Clinic, PLLC located?

Peninsula Pain Clinic, PLLC is located at 2601 Cherry Ave Ste 200, Bremerton, WA 98310. The listed phone number is (360) 415-9110.

What is Peninsula Pain Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

What insurance does Peninsula Pain Clinic, PLLC accept?

Health plans from Sanford Health Plan list Peninsula Pain Clinic, PLLC 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 Peninsula Pain Clinic, PLLC was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.