Individual provider Active NPI

Estrada J Bernard Jr., MD

  • Neurological Surgery Physician
  • Anchorage, AK
National Provider Identifier
1730139247
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
3221 Issued in AK
Practice address
3831 Piper St
Suite S450
Anchorage, AK 99508-4672
Phone
(907) 258-6999
Fax
(907) 258-9470
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 3221 AK Primary

Addresses

Primary practice location

3831 Piper St
Suite S450
Anchorage, AK 99508-4672

Mailing address

3831 Piper St
Suite S450
Anchorage, AK 99508-4672
Phone (907) 258-6999

Other identifiers 1

IdentifierTypeStateIssuer
MD32211MedicaidAK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000276 AK Practitioner - Neurosurgery 1052361649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3221AKMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Tolbert MD Inc Neurological Surgery Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1730139247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST",
            "address_2": "SUITE S450",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "ESTRADA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AK",
            "license": "3221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD32211",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.