IndividualActive
Bert Eliason, M.D.
NPI 1174513113 · Family Medicine Physician · Gallup, NM
Bert Eliason, M.D. is a Family Medicine Physician provider in Gallup, NM (NPI 1174513113).
Provider details
- NPI number
- 1174513113
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036099778 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 E. Nizhoni Blvd.
Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 726-8740
Street-level locationGet directions
Mailing address
4185 Leigh Lane
Alta, WY 83414
Registry dates
- Enumerated
- 2005-10-21
- Last updated
- 2023-03-07
Frequently asked questions
- What is Bert Eliason's NPI number?
- Bert Eliason's National Provider Identifier (NPI) is 1174513113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bert Eliason's specialty?
- Bert Eliason is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bert Eliason located?
- Bert Eliason's practice location on file with NPPES is 516 E. Nizhoni Blvd., Gallup, NM 87301-1337.
- What is Bert Eliason's phone number?
- The practice phone number listed in the NPPES registry for Bert Eliason is (505) 722-1000.
- Is Bert Eliason's NPI active?
- Yes — Bert Eliason's NPI (1174513113) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.