Alaska Brain Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

5128 Issued in AK

Legal business name

ALASKA BRAIN CENTER, LLC

Practice address

4551 E Bogard Rd
Wasilla, AK 99654-6075

Phone

(907) 373-6500

Fax

(888) 456-0663

NPI assigned

Jun 7, 2007

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L Sponsler, M.D., M.S.NPI 1538206164

Title

Owner

Phone

(907) 376-6523

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey L Sponsler, M.D.

  • Specialist
  • Wasilla, AK
  • NPI 1538206164
  Authorized official Same address or phone
• Charlotte M Nelson, A.N.P.

  • Nurse Practitioner
  • Wasilla, AK
  • NPI 1073650628
  NPD

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1215130372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546075",
            "telephone_number": "907-373-6500",
            "fax_number": "888-456-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546075",
            "telephone_number": "907-373-6500",
            "fax_number": "888-456-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA BRAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "SPONSLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-6523",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AK",
            "license": "5128",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AK",
            "license": "5128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Akerley
• Andree Jewell Akers, LMT
• Alaska Addiction Rehabilitation Services Inc. Dba Nugen's Ranch
• Alaska Behavior Consultants
• Alaska Behavioral Consultants, Inc.
• Alaska Business Solutions
• Alaska Center for Dentistry, PC
• Alaska Center for Pain Relief Inc
• Alaska Clinic LLC
• Alaska Clinical Management Services. LLC.

• Specialist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.