Active NPI
Alyson Jean Brinker, M.D.
- Dermatology Physician
- Agana Heights, GU
National Provider Identifier
1417228792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME147165
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Dermatology Institute LLC | Dermatology | Current | Accepting new patients |
Locations
633 Gov Carlos G Camacho Rd
Ste 102
Tamuning, GU 96913
Phone (671) 588-5001
Interoperability endpoints
- 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.
-
dba Guam Dermatology Institute
- Dermatology Physician
- Tamuning, GU
- NPI 1306404413
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.