Individual provider Active NPI

Gina M Brown, M.D.

  • Pediatric Dermatology Physician
  • Anchorage, AK
National Provider Identifier
1295881977
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
7714 Issued in AK
Practice address
3340 Providence Dr Ste A358
Anchorage, AK 99508-4691
Phone
(907) 268-2067
Fax
(855) 395-0858
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7714 AK
Pediatric Dermatology Physician 207NP0225X 7714 AK Primary

Addresses

Primary practice location

3340 Providence Dr Ste A358
Anchorage, AK 99508-4691

Mailing address

3340 Providence Dr Ste 358
Anchorage, AK 99508-4627
Phone (907) 268-2067

Other identifiers 1

IdentifierTypeStateIssuer
1583538MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000269 AK Practitioner - Dermatology 7113057647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7714AKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Family Dermatology, LLC Pediatric Dermatology CurrentSince Aug 1, 2019 Accepting new patients

Locations

3340 Providence Dr
Ste 358
Anchorage, AK 99508
Phone (907) 261-2880

3340 Providence Dr
Ste 358A
Anchorage, AK 99508
Phone (907) 268-2067

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Family Dermatology LLC 2 clinicians

Practice addresses (Care Compare)

3340 Providence Dr
Suite A358
Anchorage, AK 99508-4691
Phone (907) 268-2067

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions273
Removal or shaving of skin growth1-10
Skin biopsy105

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1295881977",
    "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": {
        "last_name": "BROWN",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "7714",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "AK",
            "license": "7714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583538",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.