BRANDON C BOOTHE DO
NPI 1255022737
Family Medicine in Anchorage, AK

Q: What is Brandon Boothe's NPI number?

The NPI number for Brandon Boothe is 1255022737. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Q: What is Brandon Boothe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Boothe was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2023PECOS Enrolled

1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229(907) 562-1603 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2023, May 16, 2023 (2 updates tracked since 2023).

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About Brandon C Boothe Do NPPES

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

BRANDON C BOOTHE DO (NPI 1255022737) is an individual family medicine provider in Anchorage, Alaska, licensed in Alaska (210828) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255022737

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRANDON C BOOTHECredential: DO

Location Address1201 E 36TH AVEAnchorage, AK 99508-4372

Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141

Phone(907) 562-9229

Fax(907) 562-1603

Sole ProprietorNo

Enumeration DateMay 16, 2023

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1255022737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AK · 210828

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1201 E 36TH AVE, Anchorage, AK 99508

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon C Boothe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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