Organization Active NPI

Golden Heart Medical, LLC

  • Family Medicine Physician
  • Fairbanks, AK
National Provider Identifier
1770439549
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOLDEN HEART MEDICAL, LLC
Practice address
1626 30TH Ave
Suite 201
Fairbanks, AK 99701-5910
Phone
(678) 986-6371
NPI assigned
Mar 5, 2026
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Wendy P Brophy
Title
Clinical Manager
Phone
(678) 986-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1626 30TH Ave
Suite 201
Fairbanks, AK 99701-5910

Mailing address

1626 30TH Ave
Suite 201
Fairbanks, AK 99701-5910
Phone (678) 986-6371

National Provider Directory

National Provider Directory

Locations

1626 30th Ave
Ste 200
Fairbanks, AK 99701
Phone (907) 479-7701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1770439549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "address_2": "SUITE 201",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015910",
            "telephone_number": "678-986-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "address_2": "SUITE 201",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015910",
            "telephone_number": "678-986-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEART MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "678-986-6371"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.