Brian D Demio, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

200 Albatross Ave
Commanding Officer
Kodiak, AK 99615-6806

Phone

(907) 487-5757

NPI assigned

Dec 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902883523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195002",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996195002",
            "telephone_number": "907-487-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALBATROSS AVE",
            "address_2": "COMMANDING OFFICER",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156806",
            "telephone_number": "907-487-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIO",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla A Dawson, RN
• Tate Levi De Atley, CMT
• Alyssa Deconto, CNM, WHNP
• Elsa Arp Dehart, ANP
• Margaret Dellemann
• Sue Lillian Devers, RN
• James Calvin Dew
• Diabetes Self Management Consultants
• Emily Dixon, LCSW
• Rosemary S. Donnelly

• Medical Physician Assistant in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.