Michael D Brandner, MD
Individual provider Active NPI Surgery of the Hand (Surgery) Physician · Anchorage, AK
NPI 1639222425 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1639222425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery of the Hand (Surgery) Physician 2086S0105X
- License
- 3478 (AK)
- Practice address
- 3650 Lake Otis Pkwy
Suite #100
Anchorage, AK 99508 - Phone
- (907) 272-9991
- Fax
- (907) 279-9991
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3478 | AK | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 3478 | AK | Yes |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 3478 | AK |
Addresses
Primary practice location
3650 Lake Otis Pkwy
Suite #100
Anchorage, AK 99508
Mailing address
PO Box 232711
Anchorage, AK 99523-2711
Phone (907) 272-9991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD3478 | Medicaid | AK |
Other providers in Anchorage, AK
- Shauna Branche
- Branching Out Supported Services LLC
- Jeff Ira Brand
- Drucilla M Brandeberry
- Anna U Brandes
- Jordyn Brandsema
- Alexander Reed Brandt
- Brandvold & Associates LLC
- Emily Grace Branham
- Marlene A. Brannen
All providers in Anchorage, AK · Surgery of the Hand (Surgery) Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.