Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bert Clair Eliason, MD

Individual provider Family Medicine Physician · NPI 1174513113

Dr. Bert Clair Eliason, MD is a Family Medicine Physician in Gallup, New Mexico. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 726-8740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036099778 (IL)

Record details

NPI number1174513113
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESMarch 7, 2023
Mailing address4185 Leigh Lane, Alta, WY 83414

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