Active NPI
Kerrie Rochelle Bossard, M.D.
- Colon & Rectal Surgery Physician
- Anchorage, AK
National Provider Identifier
1548267032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 26798
- Practice address
- 2751 Debarr Rd
Suite 280
Anchorage, AK 99508-2952 - Phone
- (907) 222-1401
- Fax
- (907) 222-1402
- NPI assigned
- Jun 30, 2005
- Last updated
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35946 | IA | |
| Colon & Rectal Surgery Physician | 208C00000X | 26798 | NE | Primary |
| Surgery Physician | 208600000X | 8070 | AK |
Addresses
Primary practice location
2751 Debarr Rd
Suite 280
Anchorage, AK 99508-2952
Mailing address
2751 Debarr Rd
Suite 280
Anchorage, AK 99508-2952
Phone (907) 222-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8070 | AK | MD | Surgery Physician |
| 26798 | NE | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Colorectal Surgery, PC | Colon & Rectal Surgery | Current | Accepting new patients |
Locations
2751 Debarr Rd
Ste 280
Anchorage, AK 99508
Phone (907) 222-1401
Organizations & group practices 1
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.
-
- Colon & Rectal Surgery Physician
- Anchorage, AK
- NPI 1033128335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1548267032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 DEBARR RD",
"address_2": "SUITE 280",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082952",
"telephone_number": "907-222-1401",
"fax_number": "907-222-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 DEBARR RD",
"address_2": "SUITE 280",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082952",
"telephone_number": "907-222-1401",
"fax_number": "907-222-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSARD",
"first_name": "KERRIE",
"middle_name": "ROCHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "35946",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NE",
"license": "26798",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "8070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.