ALASKA FAMILY DERMATOLOGY, LLC
NPI 1265096010
Dermatology - Pediatric Dermatology in Anchorage, AK

Q: What is Alaska Family Dermatology, LLC's NPI number?

The NPI number for Alaska Family Dermatology, LLC is 1265096010. It was assigned to this organization in the NPPES registry on April 26, 2019.

Q: What is Alaska Family Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Active since April 26, 2019CLIA 02D2167469 · Microscopy

3340 PROVIDENCE DR STE A358, ANCHORAGE, AK 99508(907) 268-2067(855) 395-0858 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alaska Family Dermatology, Llc NPPES

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

ALASKA FAMILY DERMATOLOGY, LLC (NPI 1265096010) is a healthcare organization registered as a pediatric dermatology in Anchorage, Alaska and active in the NPI registry since April 2019. The organization holds a CLIA Microscopy certificate valid through June 9, 2027 and lists Gina Marie Brown, Owner/dermatologist, as its authorized official.

NPPES Registry Identity

NPI1265096010

Entity TypeOrganization

Primary Taxonomy207NP0225X

Legal Business NameALASKA FAMILY DERMATOLOGY, LLC

Location Address3340 PROVIDENCE DR STE A358Anchorage, AK 99508-4691

Mailing Address3340 Providence Dr Ste 358Anchorage, AK 99508-4627 · (907) 268-2067 · Fax (855) 395-0858

Phone(907) 268-2067

Fax(855) 395-0858

Organization SubpartNo

Authorized OfficialGina Marie BrownOwner/dermatologist · (907) 268-2067

Enumeration DateApril 26, 2019

Last NPPES UpdateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1265096010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NP0225X

Definition

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.

3340 PROVIDENCE DR STE A358, Anchorage, AK 99508

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Other Identifiers 1

Medicaid1583538AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D2167469

Alaska Family Dermatology, LLC · Anchorage, AK

Active · expires Jun 9, 2027

CLIA Number02D2167469

Laboratory TypePhysician Office

Certificate Effective DateJune 10, 2025

Certificate Expiration DateJune 9, 2027

Laboratory DirectorDr. Gina M. Brown

Laboratory Phone(907) 268-2067

Laboratory LocationAlaska Family Dermatology, LLC3340 Providence Drive, Ste A358, Anchorage, AK 99508

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA M BROWN M.D.

Dermatology (Pediatric Dermatology)

3340 PROVIDENCE DR STE A358
ANCHORAGE, AK 99508

Anchorage Municipality (907) 268-2067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alaska Family Dermatology, LLC's NPI number?

The NPI number for Alaska Family Dermatology, LLC is 1265096010. It was assigned to this organization in the NPPES registry on April 26, 2019.

Where is Alaska Family Dermatology, LLC located?

Alaska Family Dermatology, LLC is located at 3340 Providence Dr Ste A358, Anchorage, AK 99508. The listed phone number is (907) 268-2067.

What is Alaska Family Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Does Alaska Family Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2167469) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alaska Family Dermatology, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Alaska Family Dermatology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alaska Family Dermatology, LLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.