ALASKA FAMILY DERMATOLOGY, LLC – NPI #1265096010
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

ALASKA FAMILY DERMATOLOGY, LLC is a dermatologist located in ANCHORAGE, AK. NPPES has assigned the NPI number 1265096010 to ALASKA FAMILY DERMATOLOGY, LLC on April 26, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was last updated on Apr 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALASKA FAMILY DERMATOLOGY, LLC below.

NPI Profile for
ALASKA FAMILY DERMATOLOGY, LLC

NPI Number
1265096010
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALASKA FAMILY DERMATOLOGY, LLC
Primary location
3340 PROVIDENCE DR STE A358
ANCHORAGE, AK 99508-4691
Phone: (907) 268-2067 Fax: (855) 395-0858
Mailing address
3340 PROVIDENCE DR STE 358
ANCHORAGE, AK 99508-4627
Phone: (907) 268-2067 Fax: (855) 395-0858
Organization Subpart
No
Authorized Official
GINA BROWN
OWNER/DERMATOLOGIST
Phone: (907) 268-2067
Updated
Certification Date
Apr 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALASKA FAMILY DERMATOLOGY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAK1583538
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.