Alaska Family Dermatology, LLC

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

Legal business name

ALASKA FAMILY DERMATOLOGY, LLC

Practice address

3340 Providence Dr Ste A358
Anchorage, AK 99508-4691

Phone

(907) 268-2067

Fax

(855) 395-0858

NPI assigned

Apr 26, 2019

Last updated

Apr 18, 2025By 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

Mrs. Gina Marie Brown, MDNPI 1295881977

Title

Owner/Dermatologist

Phone

(907) 268-2067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Gina M Brown, M.D.

  • Pediatric Dermatology Physician
  • Anchorage, AK
  • NPI 1295881977
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Ashley Taylor, PA-C, ATC

  • Physician Assistant
  • Anchorage, AK
  • NPI 1780917401
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1265096010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE 358",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084627",
            "telephone_number": "907-268-2067",
            "fax_number": "855-395-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR STE A358",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084691",
            "telephone_number": "907-268-2067",
            "fax_number": "855-395-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA FAMILY DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "907-268-2067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Eye Surgery and Laser Center, Inc.
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• Alaska Family Care Associates, LLC
• Alaska Family Counseling, LLC
• Alaska Family Dental LLC
• Alaska Family Medical Care LLC
• Alaska Family Sonograms, Inc
• Alaska Family Wellness Center Inc
• Alaska Family Women's H.O.P. Housing Service, Inc
• Alaska First Assist's LLC

• Pediatric Dermatology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.