Healthcare Provider Details

I. General information

NPI: 1992775324
Provider Name (Legal Business Name): JASON HOWARD ROCKWOOD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOONE ROAD
BREMERTON WA
98312
US

IV. Provider business mailing address

1 BOONE ROAD
BREMERTON WA
98312
US

V. Phone/Fax

Practice location:
  • Phone: 360-475-4847
  • Fax:
Mailing address:
  • Phone: 360-475-4847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0102201769
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number0102201769
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: