OrganizationActive
Kitsap Colorectal Surgery Inc Ps
NPI 1245566348 · Surgery Physician · Bremerton, WA
Provider details
- NPI number
- 1245566348
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnny Green, President(360) 377-4717
- License
- 35113 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2528 Wheaton Way
Suite 103
Bremerton, WA 98310-3305
Phone: (360) 377-4717
Fax: (360) 377-4134
Street-level locationGet directions
Mailing address
2528 Wheaton Way
Bremerton, WA 98310-3305
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2009-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.