Active NPI
Bobbie Jo Behrens, M.D.
- Specialist
- Soldotna, AK
National Provider Identifier
1831162130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2471
- Practice address
- 35670 Kenai Spur Hwy
101B
Soldotna, AK 99669-7626 - Phone
- (907) 262-2615
- Fax
- (907) 262-8842
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2471 | AK | Primary |
Addresses
Primary practice location
35670 Kenai Spur Hwy
101B
Soldotna, AK 99669-7626
Mailing address
35670 Kenai Spur Hwy
101B
Soldotna, AK 99669-7626
Phone (907) 262-2615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2471 | Medicaid | AK |
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Nov 4, 2015 through Nov 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2471 | AK | MD | Specialist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJEIAA/Endpoint/IJEIAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1831162130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35670 KENAI SPUR HWY",
"address_2": "101B",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697626",
"telephone_number": "907-262-2615",
"fax_number": "907-262-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35670 KENAI SPUR HWY",
"address_2": "101B",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697626",
"telephone_number": "907-262-2615",
"fax_number": "907-262-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "BOBBIE",
"middle_name": "JO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AK",
"license": "2471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD2471",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.