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

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.

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

ⓘ

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.

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.

MS. TAMMY RENEE BARRETT CRNA
Nurse Anesthetist, Certified Registered
1135 116TH AVE NE, SUITE 570
BELLEVUE, WA 98004
King County (425) 451-7335
JO KOENIG HALL CCC-A
Audiologist
1135 116TH AVE NE, SUITE 400
BELLEVUE, WA 98004
King County (206) 987-5770
MRS. ELIZABETH BROOKE REPASS SCM
Genetic Counselor, MS
1135 116TH AVE NE, SUITE 320
BELLEVUE, WA 98004
King County (425) 990-6254
DR. THOMAS DAE HUN CHI MD
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
DR. JOHN L THAYER M.D.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
RICHARD B CLARFELD M.D.
Surgery
1135 116TH AVE NE, SUITE 180
BELLEVUE, WA 98004
King County (425) 688-0212
KATHRYN D CROSSLAND M.D.
Internal Medicine (Hematology & Oncology)
1135 116TH AVE NE, SUITE 230
BELLEVUE, WA 98004
King County (425) 454-2148

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 Robert Bjurstrom's NPI number?

The NPI number for Robert Bjurstrom is 1245389436. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Robert Bjurstrom located?

Robert Bjurstrom practices at 1135 116th Ave NE Ste 610, Bellevue, WA 98004. The listed phone number is (425) 451-3043.

What is Robert Bjurstrom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Bjurstrom enrolled in Medicare?

No. Robert Bjurstrom has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Bjurstrom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.