IndividualActive
Billie Bergstrom, PAC
NPI 1104983691 · Physician Assistant · Anchorage, AK
Provider details
- NPI number
- 1104983691
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 649 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4200 Lake Otis Parkway
Suite 304
Anchorage, AK 99508
Phone: (907) 561-9444
Fax: (907) 561-9446
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 240444
Anchorage, AK 99524
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.