Karl Bruno Baurick, M.D.
Individual provider Active NPI Obstetrics Physician · Fairbanks, AK
NPI 1831272863 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1831272863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics Physician 207VX0000X
- License
- 3746 (AK)
- Practice address
- 1626 30TH Ave
Fairbanks, AK 99701-7423 - Phone
- (907) 479-7701
- Fax
- (907) 479-7718
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Washington School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Interior Womens Health LLC
Practice addresses (Care Compare)
1626 30TH Ave
Fairbanks, AK 99701-7466
Phone (907) 479-7701
Hospital & facility affiliations
- Fairbanks Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040522000097 | AK | Practitioner - Obstetrics/Gynecology | 3577450667 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3746 | AK | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interior Women'S Health, LLC | Current |
Accepting new patients | |
| Fairbanks Memorial Hospital, LLC | Past | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1626 30th Ave
Fairbanks, AK 99701
Phone (907) 479-0332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 3746 | AK | Yes |
Addresses
Primary practice location
1626 30TH Ave
Fairbanks, AK 99701-7423
Mailing address
1626 30TH Ave.
Fairbanks, AK 99701
Phone (907) 479-7701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD15181 | Medicaid | AK |
Other providers in Fairbanks, AK
- David B Bates
- Sha-Raya Lynn Bates
- Marcia Batiste
- Kevin Baum
- Joshua John Baumgartner
- Amber Baxter
- Brittany Alis Baxter
- Jay Baxter
- Nancy Prudence Bayer
- Lauren Rachel Baysinger
All providers in Fairbanks, AK · Obstetrics Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.