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NPI Code Detail

MEDICARE: JAMES RICHARD BATES M.D.

MEDICARE:   JAMES RICHARD BATES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD00019963WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5110011344OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2BA9870OTHERREGENCE BLUESHIELD
35482011OTHERAETNA
475421OTHERWALABOR & INDUSTRIES

General Provider Information

NPI Number : 1376592162
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES RICHARD BATES M.D.
Provider Business Mailing Address
First Line : 9621 RIDGETOP BLVD NW
Second Line :
City : SILVERDALE
State : WA
Zip : 98383-8502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 S KITSAP BLVD
Second Line : BLDG. 1, SUITE 250
City : PORT ORCHARD
State : WA
Zip : 98366-3773
Country : US
Telephone Number : 360-782-3000
Fax Number : 360-782-3040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 03/07/2023

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Directions to “ JAMES RICHARD BATES M.D.” Practice Location

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