KEITH D BJORK M.D.
NPI 1679510135
Specialist in Amarillo, TX

Q: What is Keith Bjork's NPI number?

The NPI number for Keith Bjork is 1679510135. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Keith Bjork's specialty?

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

Q: Is Keith Bjork enrolled in Medicare?

No. Keith Bjork has opted out of Medicare through April 1, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Keith Bjork was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 01, 2006Opted out of Medicare · through Apr 1, 2027

1100 S COULTER ST, AMARILLO, TX 79106(806) 468-9700(806) 468-9771 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keith D Bjork M.d. NPPES

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

KEITH D BJORK M.D. (NPI 1679510135) is an individual specialist in Amarillo, Texas, licensed in Texas (H7902) and active in the NPI registry since June 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679510135

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameKEITH D BJORKCredential: M.D.

Location Address1100 S COULTER STAmarillo, TX 79106-1836

Mailing Address1100 S Coulter StAmarillo, TX 79106-1836 · (806) 468-9700 · Fax (806) 468-9771

Phone(806) 468-9700

Fax(806) 468-9771

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateMarch 7, 2012

✔ NPI 1679510135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · H7902

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.

1100 S COULTER ST, Amarillo, TX 79106

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Other Identifiers 3

Medicare UPINF35951TX

Medicare PIN85W810TX

Medicaid082477501TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Keith D Bjork 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 April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021

Opt-Out In Effect ThroughApril 1, 2027Opt-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.

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