Chester Upton Bradstreet, M.D.
Individual provider Active NPI Family Medicine Physician · Anchorage, AK
NPI 1043471659 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1043471659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4817 (AK)
- Practice address
- 2840 Debarr Road Ste 771
The Alaska Hospitalist Group
Anchorage, AK 99508 - Phone
- (801) 699-0415
- Fax
- (907) 264-1951
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 16, 2025 through Jan 16, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4817 | AK | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Centers LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4
- chester.bradstreet.1@15729.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4817 | AK | Yes |
Addresses
Primary practice location
2840 Debarr Road Ste 771
The Alaska Hospitalist Group
Anchorage, AK 99508
Mailing address
2840 Debarr Road Ste 771
The Alaska Hospitalist Group
Anchorage, AK 99508
Phone (801) 699-0415
Other providers in Anchorage, AK
- Carolyn Bradley
- Denisha Bradley
- Elijah Bradley
- Deandre' Antonio Bradshaw
- Deanna May Bradshaw
- Jeanne C Brady
- Patrick David Brady
- Shane Gregory Brady
- John Stuart Bragg Jr.
- Lucy Ann Bragg
All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.