Active NPI
Gregory H. Stern, M.D.
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1124040365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00027449
- Practice address
- 509 Girard St
Bellingham, WA 98225-4005 - Phone
- (360) 778-6000
- Fax
- (360) 778-6101
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00027449 | WA | Primary |
Addresses
Primary practice location
509 Girard St
Bellingham, WA 98225-4005
Mailing address
509 Girard St
Bellingham, WA 98225-4005
Phone (360) 778-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8291924 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00027449 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1124040365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 GIRARD ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254005",
"telephone_number": "360-778-6000",
"fax_number": "360-778-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 GIRARD ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254005",
"telephone_number": "360-778-6000",
"fax_number": "360-778-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "GREGORY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00027449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8291924",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.