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Kitsap Colorectal Surgery Inc Ps

Surgery Physician in Bremerton, WA · enumerated 2009 · authorized official Johnny Green, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245566348

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Registry record

Entity type Organization (Type 2)
Legal business name Kitsap Colorectal Surgery Inc Ps
Practice address 2528 Wheaton Way, Suite 103, Bremerton, WA, 98310
Phone (360) 377-4717
Fax (360) 377-4134
Enumeration date Oct 23, 2009
Last updated in NPPES Oct 23, 2009

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 35113 (WA) Primary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License 35113 (WA) Secondary

Authorized official

Name Johnny Green
Title President
Phone (360) 377-4717

Other identifiers

Identifier Type State Issuer
1109032 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kitsap Colorectal Surgery Inc Ps?
The NPI for Kitsap Colorectal Surgery Inc Ps is 1245566348, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kitsap Colorectal Surgery Inc Ps?
NPPES lists Johnny Green (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-23.