Active NPI
Brian Desmond, PA
- Physician Assistant
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 200537
- Practice address
- 4320 Diplomacy Dr
Anchorage, AK 99508-5925 - Phone
- (907) 729-3300
- NPI assigned
- Jun 10, 2022
- Last updated
- Dec 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 200537 | AK | Primary |
Addresses
Primary practice location
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8901
Other practice location 1
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone (208) 282-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 70.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200537 | AK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
1021 E 3rd Ave
Anchorage, AK 99501
Phone (907) 729-6342
225 Eagle St
Anchorage, AK 99501
Phone (907) 729-6550
400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4654
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
4330 Elmore Rd
Anchorage, AK 99508
Phone (907) 729-6690
6901 E Tudor Rd
Ste 8
Anchorage, AK 99507
Phone (907) 729-6500
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
755 A St
Anchorage, AK 99501
Phone (907) 272-1255
26341 Eklutna Village Rd
Chugiak, AK 99567
Phone (907) 688-6031
1 Flight Line Rd
Port Alsworth, AK 99653
Phone (907) 781-2256
Interoperability endpoints
- bdesmond@direct.scf.cc
Organizations & group practices 13
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.
-
- Orthopaedic Hand Surgery Physician
- Anchorage, AK
- NPI 1497994859
-
dba BSD - McGrath
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
dba Tribal- Kokhanok Community Health Clinic
- Community Health Clinic/Center
- Kokhanok, AK
- NPI 1043689169
-
dba Tribal- McGrath Regional Health Center
- Multi-Specialty Clinic/Center
- McGrath, AK
- NPI 1063467223
-
dba Tribal- Iguigig Community Health Clinic
- Community Health Clinic/Center
- Iguigig, AK
- NPI 1144699216
-
dba Alaska Subspecialty Pediatric Network (ASPN)
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1457196685
-
dba Tribal- Indian Creek Health Center
- Community Health Clinic/Center
- Tyonek, AK
- NPI 1609232040
-
dba Tribal- Nondalton Clinic
- Community Health Clinic/Center
- Nondalton, AK
- NPI 1740659192
-
dba BH 1115- Quyana Clubhouse
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1821691254
-
dba Tribal-Nilavena Regional Health Center
- Multi-Specialty Clinic/Center
- Iliamna, AK
- NPI 1912954272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1629708979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-729-8901",
"fax_number": "907-729-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085925",
"telephone_number": "907-729-3300"
}
],
"practiceLocations": [
{
"address_1": "921 S 8th Ave Stop 8253",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832090002",
"country_code": "US",
"telephone_number": "208-282-4726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESMOND",
"first_name": "BRIAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "200537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.
- 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.