DR. ROBERT LEE BJURSTROM M.D.
NPI 1245389436
Specialist in Bellevue, WA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since January 09, 2007Opted out of Medicare · through Oct 1, 2026

1135 116TH AVE NE, STE 610, BELLEVUE, WA 98004(425) 451-3043(425) 451-3044 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Robert Lee Bjurstrom M.d. NPPES

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

DR. ROBERT LEE BJURSTROM M.D. (NPI 1245389436) is an individual specialist in Bellevue, Washington, licensed in Washington (MD00020223) and active in the NPI registry since January 2007. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245389436

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ROBERT LEE BJURSTROMCredential: M.D.

Location Address1135 116TH AVE NE, STE 610Bellevue, WA 98004-4623

Mailing Address1135 116th Ave Ne, Ste 610Bellevue, WA 98004-4623 · (425) 451-3043 · Fax (425) 451-3044

Phone(425) 451-3043

Fax(425) 451-3044

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245389436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MD00020223

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1135 116TH AVE NE, Bellevue, WA 98004

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Other Identifiers 2

Medicaid1004043WA

Medicare UPINE17994WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Robert Lee Bjurstrom M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.