Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jose Gomez Bautista, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508354010

Dr. Jose Gomez Bautista, MD is an Internal Medicine in Spokane, Washington. Qualified in 2018, 8 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Spokane, WA
Fax: (509) 626-9917

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 101 W 8th Ave # 9n, Spokane, WA 99204-2307 — (509) 710-7855
  • 401 W Poplar St, Walla Walla, WA 99362-2846 — (509) 897-2980

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD61127903 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508354010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 30, 2018
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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