Individual provider Active NPI

Michael Alan Bleicher, MD

  • Pediatric Surgery Physician
  • Anchorage, AK
National Provider Identifier
1699849976
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
AA2039 Issued in AK
Practice address
3851 Piper St
Suite U-422
Anchorage, AK 99508-6904
Phone
(907) 561-0111
NPI assigned
Nov 20, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AA2039 AK
Pediatric Surgery Physician 2086S0120X AA2039 AK Primary

Addresses

Primary practice location

3851 Piper St
Suite U-422
Anchorage, AK 99508-6904

Mailing address

3851 Piper St
Suite U-422
Anchorage, AK 99508-6904
Phone (907) 561-0111

Other identifiers 1

IdentifierTypeStateIssuer
MD2039MedicaidAK

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA2039AKMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie J. Bleicher, M.D., LLC Surgery Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1699849976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U-422",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086904",
            "telephone_number": "907-561-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U-422",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086904",
            "telephone_number": "907-561-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEICHER",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "AA2039",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AK",
            "license": "AA2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2039",
            "state": "AK"
        }
    ],
    "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 Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.