Active NPI
Mark L Adriance, M.D.
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1598723942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00015299
- Practice address
- 709 W Orchard Dr
Suite 4
Bellingham, WA 98225-1766 - Phone
- (360) 318-8800
- Fax
- (360) 318-1085
- NPI assigned
- May 3, 2006
- Last updated
- Jul 24, 2012
- 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 | MD00015299 | WA | Primary |
Addresses
Primary practice location
709 W Orchard Dr
Suite 4
Bellingham, WA 98225-1766
Mailing address
709 W Orchard Dr
Suite 4
Bellingham, WA 98225-1766
Phone (360) 318-8800
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9782AD | Other | WA | REGENCE BLUESHIELD |
| 3252AD | Other | WA | REGENCE BLUESHIELD |
| 4324AD | Other | WA | REGENCE BLUESHIELD |
| 8932695 | Other | WA | L&I CRIME VICTIM |
| 1068105 | Medicaid | WA | |
| 8752AD | Other | WA | REGENCE BLUESHIELD |
| 4852AD | Other | WA | REGENCE BLUESHIELD |
| 0130089 | Other | WA | L&I REGULAR |
| 0718AD | Other | WA | REGENCE BLUESHIELD |
| 423898-034 | Other | WA | GROUP HEATLH COOPERATIVE |
| 080147963 | Other | WA | RR MEDICARE |
| 7852AD | Other | WA | REGENCE BLUESHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1598723942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR",
"address_2": "SUITE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800",
"fax_number": "360-318-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR",
"address_2": "SUITE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800",
"fax_number": "360-318-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIANCE",
"first_name": "MARK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00015299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "9782AD",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "3252AD",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "4324AD",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIM",
"identifier": "8932695",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1068105",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "8752AD",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "4852AD",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I REGULAR",
"identifier": "0130089",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "0718AD",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEATLH COOPERATIVE",
"identifier": "423898-034",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080147963",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "7852AD",
"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 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.