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

Theodore Eugene Johnsrude, MD

Individual provider Urology Physician · NPI 1265484299

Theodore Eugene Johnsrude, MD is an Urology Physician in Silverdale, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Phone: (360) 782-3200
Fax: (360) 782-3245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD00019724 (WA)

Record details

NPI number1265484299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 7, 2023
Mailing address2512 Wheaton Way, Bremerton, WA 98310-3399

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