| Dr Brian Wade Legendre, MD, MPH | |
|
2850 Thresher Ave, Silverdale, WA 98315-2105 | |
| (360) 315-4453 | |
| Not Available |
| Full Name | Dr Brian Wade Legendre |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 2850 Thresher Ave, Silverdale, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487723318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A92256 (California) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | A92256 (California) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Wade Legendre, MD, MPH 1 Boone Rd, Bremerton, WA 98312-1894 Ph: (360) 315-4453 | Dr Brian Wade Legendre, MD, MPH 2850 Thresher Ave, Silverdale, WA 98315-2105 Ph: (360) 315-4453 |
Michelle Colkitt, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 10513 Silverdale Way Nw, Ste 101, Silverdale, WA 98338 Phone: 360-692-1848 Fax: 360-692-1912 | |
Dr. David M Monroe, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050 Barb St Ste A, Silverdale, WA 98315 Phone: 360-315-4391 | |
Dr. Lacreasia K. Wheat-hitchings, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 9621 Ridgetop Blvd Nw, Silverdale, WA 98383 Phone: 360-782-3400 Fax: 360-782-3345 |