Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Bert Clair Eliason, M.D.

Family Medicine Physician in Gallup, NM · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174513113

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Registry record

Entity type Individual (Type 1)

Name Dr. Bert Clair Eliason

Credential M.D.

Sex Male

Practice address 516 E. Nizhoni Blvd., Gallup, NM, 87301

Phone (505) 722-1000

Fax (505) 726-8740

Enumeration date Oct 21, 2005

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036099778 (IL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
036099778	Other	IL	IL STATE LICENSE
336060100	Other	IL	IL STATE CTL SUB LICENSE
036099778	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Bert Eliason?

Bert Eliason is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.