1. Home
  2. Directory
  3. Alaska
  4. Glennallen
  5. Family Medicine
  6. NPI Profile

MARCIANO DAVID BAUTISTA D.O.
NPI 1114078995
Family Medicine in Glennallen, AK

Active since January 16, 2007
MILE 187.5 GLENN HWY, GLENNALLEN, AK 99588(907) 822-3203 Get Directions Write a Review

NPPES record last updated: March 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marciano David Bautista D.o. NPPES

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

MARCIANO DAVID BAUTISTA D.O. (NPI 1114078995) is an individual family medicine provider in Glennallen, Alaska, licensed in Alaska (4535) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114078995
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARCIANO DAVID BAUTISTACredential: D.O.
Location AddressMILE 187.5 GLENN HWYGlennallen, AK 99588-0589
Mailing AddressPo Box 5, Mile 187.5 Glenn HwyGlennallen, AK 99588-0589 · (907) 822-3203
Phone(907) 822-3203
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 31, 2009
✔ NPI 1114078995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AK · 4535✔ Licensed in CO · 35579✔ Licensed in MI · 5101013320
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
MILE 187.5 GLENN HWY, Glennallen, AK 99588
Open in Google Maps ↗

Other Identifiers 4

Medicare PINK162088AK
OtherP00673381AK · Medicare Railroad Ptan
Medicare UPING03796
Other1114078995AK · Npi

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICKIE J WILLIS D.C.
Chiropractor
MILE 187.5 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3353
DR. KEVIN BRENT SHEDLOCK DDS
Dentist
MILE 187.5 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3113

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 Marciano Bautista's NPI number?

The NPI number for Marciano Bautista is 1114078995. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Marciano Bautista located?

Marciano Bautista practices at Mile 187.5 Glenn Hwy, Glennallen, AK 99588. The listed phone number is (907) 822-3203.

What is Marciano Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Marciano Bautista was last updated on March 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.