Individual provider Active NPI

Alyson Jean Brinker, M.D.

  • Dermatology Physician
  • Agana Heights, GU
National Provider Identifier
1417228792
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME147165 Issued in FL
Practice address
US Naval Hospital Guam
BLDG 50 Farenholt Avenue
Agana Heights, GU 96910
Phone
(671) 344-9340
NPI assigned
Jan 19, 2012
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME147165 FL Primary

Addresses

Primary practice location

US Naval Hospital Guam
BLDG 50 Farenholt Avenue
Agana Heights, GU 96910

Mailing address

PSC 455 Box 208
Fpo, AP 96540-0003
Phone (671) 344-9340

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Alyson.Brinker@forefrontdermatology.emadirect.md
Direct Messaging Address Alyson.Brinker@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20240619002677 GU Practitioner - Dermatology 8921416371 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Dermatology Institute LLC Dermatology CurrentSince Jun 8, 2024 Accepting new patients

Locations

633 Gov Carlos G Camacho Rd
Ste 102
Tamuning, GU 96913
Phone (671) 588-5001

Interoperability endpoints

  • Direct secure messaging: alyson.brinker@forefrontdermatology.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1417228792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 455 BOX 208",
            "city": "FPO",
            "state": "AP",
            "postal_code": "965400003",
            "telephone_number": "671-344-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US NAVAL HOSPITAL GUAM",
            "address_2": "BLDG 50 FARENHOLT AVENUE",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-344-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKER",
        "first_name": "ALYSON",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME147165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alyson.Brinker@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1200 Gulf Breeze Pkwy Ste A",
            "city": "Gulf Breeze",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325614851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alyson.Brinker@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "540 Fontaine St",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325032019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Agana Heights, GU

Sources for this page

Verify at the official NPI Registry.