Carl Lester Brown Jr., PA-C
Individual provider Active NPI Medical Physician Assistant · Anchorage, AK
NPI 1245315779 · NPPES record last updated Aug 1, 2012
Key facts
- NPI
- 1245315779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0473 (AK)
- Practice address
- 300 West Dimond Blvd.
Suite 12
Anchorage, AK 99515 - Phone
- (907) 341-7757
- Fax
- (907) 341-7760
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alaska Urgent Care LLC
Practice addresses (Care Compare)
300 E Dimond Blvd
Anchorage, AK 99515-1948
Phone (907) 341-7757
300 E Dimond Blvd
Unit 12a
Anchorage, AK 99515-1908
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050613000310 | AK | Practitioner - Physician Assistant | 2668416579 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 473 | AK | MD | Professional Counselor |
| 0473 | AK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Road Health Ministries, Inc. | Current |
Accepting new patients | |
| Robert E Gieringer MD a Professional Corporation | Past | Accepting new patients |
Locations
187 Glenn Hwy
Glennallen, AK 99588
Phone (907) 822-3203
Interoperability endpoints
- carl.brown.p1@direct.crossroadmc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0473 | AK | Yes |
| Surgical Physician Assistant | 363AS0400X | 0473 | AK |
Addresses
Primary practice location
300 West Dimond Blvd.
Suite 12
Anchorage, AK 99515
Mailing address
3224 Linden Dr.
Anchorage, AK 99502
Phone (907) 243-0598
Other providers in Anchorage, AK
- Andre Brown
- Annika Brown
- April Marie Brown
- Brady Brown
- Britany Ann Brown
- Christina C Brown
- Daniel William Brown
- Danielle Brown
- Demornae Elatia Brown
- Elizabeth Lucille Brown
All providers in Anchorage, AK · Medical Physician Assistant in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2012. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.