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BILLIE BERGSTROM PAC
NPI 1104983691
Physician Assistant in Anchorage, AK

Active since January 03, 2007
4200 LAKE OTIS PARKWAY, SUITE 304, ANCHORAGE, AK 99508(907) 561-9444(907) 561-9446 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Billie Bergstrom Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILLIE BERGSTROM PAC (NPI 1104983691) is an individual physician assistant in Anchorage, Alaska, licensed in Alaska (649) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104983691
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBILLIE BERGSTROMCredential: PAC
Location Address4200 LAKE OTIS PARKWAY, SUITE 304Anchorage, AK 99508
Mailing AddressPo Box 240444Anchorage, AK 99524
Phone(907) 561-9444
Fax(907) 561-9446
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104983691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AK · 649
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4200 LAKE OTIS PARKWAY, Anchorage, AK 99508
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Other Identifiers 2

Medicare ID-Type UnspecifiedH45067
Medicare UPIN588729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Billie Bergstrom's NPI number?

The NPI number for Billie Bergstrom is 1104983691. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Billie Bergstrom located?

Billie Bergstrom practices at 4200 Lake Otis Parkway Suite 304, Anchorage, AK 99508. The listed phone number is (907) 561-9444.

What is Billie Bergstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Billie Bergstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.