Organization Active NPI

Brian F Sweeney Jr M D Apc

  • Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1174500045
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5662 Issued in AK
Legal business name
BRIAN F SWEENEY JR M D APC
Practice address
4048 Laurel St
Suite 301
Anchorage, AK 99508-5389
Phone
(907) 562-2928
Fax
(907) 563-4848
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian F Sweeney Jr., M D
Title
President Owner
Phone
(907) 562-2928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 5662 AK Primary

Addresses

Primary practice location

4048 Laurel St
Suite 301
Anchorage, AK 99508-5389

Mailing address

4048 Laurel St
Suite 301
Anchorage, AK 99508-5389
Phone (907) 562-2928

Other identifiers 1

IdentifierTypeStateIssuer
MD5662MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000949 AK Part B Supplier - Clinic/Group Practice 6305733577 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1174500045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 LAUREL ST",
            "address_2": "SUITE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085389",
            "telephone_number": "907-562-2928",
            "fax_number": "907-563-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 LAUREL ST",
            "address_2": "SUITE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085389",
            "telephone_number": "907-562-2928",
            "fax_number": "907-563-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN F SWEENEY JR M D APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "907-562-2928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AK",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5662",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.