Bruce J Kiessling, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1224 Issued in AK

Practice address

4100 Lake Otis Pkwy
Ste. 322
Anchorage, AK 99508-5222

Phone

(907) 562-1234

Fax

(907) 561-8550

NPI assigned

Apr 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 16, 2023 through Feb 16, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bruce.kiessling.p1@direct.opaak.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Associates

  • Primary Care Clinic/Center
  • Anchorage, AK
  • NPI 1205298957
  Authorized official Same address or phone
• Orthoalaska LLC

  dba Orthopedic Physicians Alaska

  • Rheumatology Physician
  • Anchorage, AK
  • NPI 1265293252
  NPD (past)
• U.S. Healthworks Medical Group of Alaska, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1841270337

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386608156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD",
            "address_2": "PMB 1168",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "907-646-2559",
            "fax_number": "907-562-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "STE. 322",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085222",
            "telephone_number": "907-562-1234",
            "fax_number": "907-561-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESSLING",
        "first_name": "BRUCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1224",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1224",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids First Pediatric Therapy
• Kidsmile, LLC
• Joshua Kieck
• Royal Pearson Kiehl, M.D.
• Jan Eric Kiele, MD
• John Willis Kiessling, D.O.
• Jasmine Kiester-Durrant
• Alicia C Kiger, DO
• Carrie Ann Kignak
• Lauren Marin Kiker

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.