MR. WILLIAM ANTHONY BERMOY III


Address: 9040 Jackson Ave, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100
Phone: 2539681110

MR. WILLIAM ANTHONY BERMOY III (NPI# 1689038705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689038705
Entity Type Individual
Full Name MR. WILLIAM ANTHONY BERMOY III
Practice Address 9040 Jackson Ave, Attn: Mchj-clq-c
Madigan Army Medical Center
Tacoma
WA 98431-1100
Practice Telephone 2539681110
Practice Fax Number 8778741031
Mailing Telephone 2539681110
Mailing Fax Number 8778741031
Enumeration Date 2016-04-06
Last Update Date 2016-04-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic E2070268 Emergency Medical Service Providers

Office Location

Street Address 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
MADIGAN ARMY MEDICAL CENTER
City TACOMA
State WA
Zip Code 98431-1100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295277325 Colleen M Silva Licensed Practical Nurse 9040 Jackson Ave, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98341-1100 2016-11-07
1255787982 Kerry Ann Lord Registered Nurse 9040 Jackson Ave, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 2016-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679183412 Alexandra Grace Wooten Emergency Medical Technician, Basic 5043 N Visscher St, Tacoma, WA 98407-2112 2020-08-06
1609404409 Montana Wynn Gubrud Emergency Medical Technician, Basic 1705 Dock St Unit 334, Tacoma, WA 98402-3216 2020-03-29
1306311667 Michael Dean Torres Emergency Medical Technician, Basic Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-10-12
1285125351 Xinhui Huang Emergency Medical Technician, Basic 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 2018-05-24
1104344472 Chalsea Jayne Hicks Nerys Emergency Medical Technician, Basic Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 2017-09-06
1710344015 Matthew C Dayoe Emergency Medical Technician, Basic 9040 Reid St, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-01-19
1215308804 Ulysses Mendez Emergency Medical Technician, Basic 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 2015-10-08
1689236507 Meredith Anna Russell Emergency Medical Technician, Basic 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-07-01
1386107456 Robert De La Pena Jr. Emergency Medical Technician, Basic 9040 Jackson Ave, Tacoma, WA 98431-0001 2019-04-07
1366918625 Rafcel Gabriel Hernandez Emergency Medical Technician, Basic Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98433-1100 2018-10-15
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98431

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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