Individual provider Active NPI

Karl Bruno Baurick, M.D.

  • Obstetrics Physician
  • Fairbanks, AK
National Provider Identifier
1831272863
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
3746 Issued in AK
Practice address
1626 30TH Ave
Fairbanks, AK 99701-7423
Phone
(907) 479-7701
Fax
(907) 479-7718
NPI assigned
Oct 23, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 3746 AK Primary

Addresses

Primary practice location

1626 30TH Ave
Fairbanks, AK 99701-7423

Mailing address

1626 30TH Ave.
Fairbanks, AK 99701
Phone (907) 479-7701

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
I20040522000097 AK Practitioner - Obstetrics/Gynecology 3577450667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 1658268735, 3 clinicians

Practice addresses (Care Compare)

1626 30TH Ave
Fairbanks, AK 99701-7466
Phone (907) 479-7701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3746AKMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Women's Health, LLC CurrentSince Oct 13, 2003 Accepting new patients
Fairbanks Memorial Hospital, LLC Past Accepting new patients

Locations

1626 30th Ave
Fairbanks, AK 99701
Phone (907) 479-0332

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1831272863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE.",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-479-7701",
            "fax_number": "907-479-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017423",
            "telephone_number": "907-479-7701",
            "fax_number": "907-479-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAURICK",
        "first_name": "KARL",
        "middle_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AK",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.