Active NPI
Bernard J. O'Brien, P.A.C.
- Physician Assistant
- Ossineke, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001564
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcona Citizens for Health, Inc. | Physician Assistant | Current | Accepting new patients |
| Alcona Citizens for Health, Inc. | Current | 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
- 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.
-
dba Alcona Health Centers
- Federally Qualified Health Center (FQHC)
- Harrisville, MI
- NPI 1326055450
Physician Assistant
-
dba Alcona Health Center Pediatrics
- Federally Qualified Health Center (FQHC)
- Alpena, MI
- NPI 1750159158
-
dba Alcona Health Center Pharmacy Services
- Community/Retail Pharmacy
- Alpena, MI
- NPI 1407949845
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.