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DR. BERT CLAIR ELIASON M.D.
NPI 1174513113
Family Medicine in Gallup, NM

Active since October 21, 2005
516 E. NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 726-8740 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bert Clair Eliason M.d. NPPES

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

DR. BERT CLAIR ELIASON M.D. (NPI 1174513113) is an individual family medicine provider in Gallup, New Mexico, licensed in Illinois (036099778) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1174513113
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BERT CLAIR ELIASONCredential: M.D.
Location Address516 E. NIZHONI BLVD.Gallup, NM 87301-1337
Mailing Address4185 Leigh LaneAlta, WY 83414 · (801) 471-8894 · Fax (909) 382-4524
Phone(505) 722-1000
Fax(505) 726-8740
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1174513113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036099778
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.
516 E. NIZHONI BLVD., Gallup, NM 87301
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Other Identifiers 3

Other036099778IL · Il State License
Other336060100IL · Il State Ctl Sub License
Medicaid036099778IL

Other Providers at the Same Location NPPES 20

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

TIMOTHY L. AMBROSE DDS
Dentist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DR. CARLOS MANUEL DE SANCTIS M.D.
Pediatrics
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DEVIN GLASSES PA-C
Physician Assistant
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
LILY HUGAR MA CCC-A
Audiologist
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
ALICIA SLIM RN
Registered Nurse
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
DONALD JOEL LEWIS-KRAITSIK M.D.
Family Medicine
516 E. NIZHONI BLVD.
GALLUP, NM 87301
McKinley County (505) 722-1000
JOHN M GOSSARD M.D.
Orthopaedic Surgery
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000
TARA A. WHITSON RDH
Dental Hygienist
516 E. NIZHONI BLVD., BOX 1337
GALLUP, NM 87301
McKinley County (505) 722-1000

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 Bert Eliason's NPI number?

The NPI number for Bert Eliason is 1174513113. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Bert Eliason located?

Bert Eliason practices at 516 E. Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Bert Eliason'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 Bert Eliason was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.