1407165053 NPI number — WALTER REED NATIONAL MILITARY MEDICAL CENTER

Table of content: BRIAN PATRICK JOYCE RPH (NPI 1639510035)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407165053 NPI number — WALTER REED NATIONAL MILITARY MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WALTER REED NATIONAL MILITARY MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407165053
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8901 WISCONSIN AVE
Provider Second Line Business Mailing Address:
PSC BOX 509 CODE 6300
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20889-5600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-295-4934
Provider Business Mailing Address Fax Number:
301-295-1299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8901 WISCONSIN AVE
Provider Second Line Business Practice Location Address:
PSC BOX 509 CODE 6300
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889-5600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-295-4934
Provider Business Practice Location Address Fax Number:
301-295-1299
Provider Enumeration Date:
09/30/2010

Additional Information

Authorized Official

Authorized Official Last Name:
DICKSON
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCIAL MANAGEMENT ANALYST
Authorized Official Telephone Number:
301-295-4934

Provider Taxonomy Codes

  • Taxonomy code: 286500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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