Anna U Brandes, MD
Individual provider Active NPI Family Medicine Physician · Anchorage, AK
NPI 1134810617 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1134810617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 210956 (AK)
- Practice address
- 1201 E 36TH Ave
Anchorage, AK 99508-4372 - Phone
- (907) 562-9229
- Fax
- (907) 562-1603
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230705003318 | AK | Order and Referring Only - Family Practice |
2062871304 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210956 | AK | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 210956 | AK | Yes |
Addresses
Primary practice location
1201 E 36TH Ave
Anchorage, AK 99508-4372
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other providers in Anchorage, AK
- Theresa L Bramel
- Shauna Branche
- Branching Out Supported Services LLC
- Jeff Ira Brand
- Drucilla M Brandeberry
- Michael D Brandner
- Jordyn Brandsema
- Alexander Reed Brandt
- Brandvold & Associates LLC
- Emily Grace Branham
All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.