Health Wellness and Longevity Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALTH WELLNESS AND LONGEVITY CLINIC LLC

Doing business as

Internal Medicine HWL Clinic

Practice address

2741 Debarr Rd Ste C416
Anchorage, AK 99508-2998

Phone

(907) 931-7101

Fax

(907) 274-7855

NPI assigned

Aug 10, 2021

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Marie Brown, MDNPI 1124426754

Title

Owner

Phone

(907) 202-9366

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Internal Medicine HWL Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Jennifer Marie Brown, M.D.

  • Internal Medicine Physician
  • Anchorage, AK
  • NPI 1124426754
  Medicare reassignment Care Compare group NPD Authorized official
• Julie McCormick, M.D.

  • Internal Medicine Physician
  • Anchorage, AK
  • NPI 1124048384
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1881369189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C416",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082998",
            "telephone_number": "907-931-7101",
            "fax_number": "907-274-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 DEBARR RD STE C416",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082998",
            "telephone_number": "907-931-7101",
            "fax_number": "907-274-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WELLNESS AND LONGEVITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-202-9366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1124426754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1881369189",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine HWL Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healing Journeys
• Health Be Yours LLC
• Health Centered Dentistry
• Health Court Foods,Inc.
• Health Hub Physicians Inc (Hamilton Health Box)
• Healthcare Consultants of Alaska,LLC
• Healthy Brains Corporation
• Healthy Families LLC (Alaska Health Quest)
• Healthy Smiles Forever, LLC
• Healthy Solutions With Angela LLC

• Internal Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.