Individual provider Active NPI

Bernard J. O'Brien, P.A.C.

  • Physician Assistant
  • Ossineke, MI
National Provider Identifier
1871523977
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001564 Issued in MI
Practice address
11745 US Highway 23 S
Ossineke, MI 49766-9582
Phone
(989) 471-2156
Fax
(989) 471-5257
NPI assigned
Jul 4, 2006
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001564 MI Primary

Addresses

Primary practice location

11745 US Highway 23 S
Ossineke, MI 49766-9582

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bernard.obrien.p1@direct.alcona.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000043 MI Practitioner - Physician Assistant 7416965231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

1185 US Hwy 23 N
Alcona Health Centers Alpena Servi
Alpena, MI 49707-8004
Phone (989) 356-4049

201 N Ripley Blvd
Alpena Public Schools Ella White El
Alpena, MI 49707-3403
Phone (989) 358-5993

309 W Lake St
Ahc Wildcat Extension
Alpena, MI 49707-2216
Phone (989) 358-3998

3303 S 3Rd Ave
Alpena High School
Alpena, MI 49707-3307
Phone (989) 358-5213

346 Long Rapids PLZ
Alpena, MI 49707-1374
Phone (989) 358-3500

3500 S 3Rd Ave
Alpena Public School Thunder Bay Ju
Alpena, MI 49707-4105
Phone (989) 358-3500

PO Box
Suite 655
Alpena, MI 49707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. Physician Assistant CurrentSince Jan 1, 2006 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince Jan 1, 2006 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

11745 US Highway 23 S
Ossineke, MI 49766
Phone (989) 471-2156

Interoperability endpoints

  • Direct secure messaging: bernard.obrien.p1@direct.alcona.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1871523977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 US HIGHWAY 23 S",
            "city": "OSSINEKE",
            "state": "MI",
            "postal_code": "497669582",
            "telephone_number": "989-471-2156",
            "fax_number": "989-471-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BERNARD",
        "middle_name": "J.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernard.obrien.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11745 US Highway 23 S",
            "city": "Ossineke",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497669582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ossineke, MI

Sources for this page

Verify at the official NPI Registry.