ALASKA BRAIN CENTER, LLC
NPI 1215130372
Specialist in Wasilla, AK

Active since June 07, 2007
4551 E BOGARD RD, WASILLA, AK 99654(907) 373-6500(888) 456-0663 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alaska Brain Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALASKA BRAIN CENTER, LLC (NPI 1215130372) is a healthcare organization registered as a specialist in Wasilla, Alaska and active in the NPI registry since June 2007. The organization lists Jeffrey L Sponsler, Owner, as its authorized official.

NPPES Registry Identity

NPI1215130372
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALASKA BRAIN CENTER, LLC
Location Address4551 E BOGARD RDWasilla, AK 99654-6075
Mailing Address4551 E Bogard RdWasilla, AK 99654-6075 · (907) 373-6500 · Fax (888) 456-0663
Fax(888) 456-0663
Organization SubpartNo
Authorized OfficialJeffrey L SponslerOwner · (907) 376-6523
Enumeration DateJune 7, 2007
Last NPPES UpdateJanuary 20, 2011
NPI 1215130372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AK · 5128
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X · License 5128 (AK)
4551 E BOGARD RD, Wasilla, AK 99654

Other Identifiers 1

Medicare PINK153237AK

Accepted Insurance

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist
4551 E BOGARD RD
WASILLA, AK 99654
Nurse Practitioner
4551 E BOGARD RD
WASILLA, AK 99654
Nurse Practitioner (Family)
4551 E BOGARD RD
WASILLA, AK 99654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215130372, enumerated as an "organization" on June 07, 2007.

The provider is located at 4551 E BOGARD RD WASILLA, AK 99654 and the phone number is (907) 373-6500.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.