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BRYAN BRANDENBURG MS, LPC
NPI 1508411075
Counselor - Professional in Wasilla, AK

Active since August 01, 2019
26731 W POINT MACKENZIE RD, WASILLA, AK 99623(907) 376-4534(907) 376-3248 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2022, Jan 7, 2022, Aug 1, 2019 (3 updates tracked since 2019).

About Bryan Brandenburg Ms, Lpc NPPES

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

BRYAN BRANDENBURG MS, LPC (NPI 1508411075) is an individual professional provider in Wasilla, Alaska, licensed in Alaska (102717) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1508411075
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRYAN BRANDENBURGCredential: MS, LPC
Location Address26731 W POINT MACKENZIE RDWasilla, AK 99623-8709
Mailing Address1630 N River Rock CirPalmer, AK 99645-9698 · (907) 441-7392
Phone(907) 376-4534
Fax(907) 376-3248
Sole ProprietorNo
Enumeration DateAugust 1, 2019
Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1508411075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 102717
26731 W POINT MACKENZIE RD, Wasilla, AK 99623
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Other Providers at the Same Location NPPES 20

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

ALEX TRENTON BELTZ PSS
Peer Specialist
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
JESSICA LEE BELK CDCS
Counselor (Addiction (Substance Use Disorder))
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
CHRISTOPHER ORION PETRUSKA
Peer Specialist
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
LISA LYNN WATERS RN
Registered Nurse
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
ALISON K GIACULLO
Peer Specialist
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
TYLER LEE ROEDER
Counselor (Addiction (Substance Use Disorder))
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
LEWIS KIRK
Counselor
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534
TAYLOR JAMES MURPHY
Peer Specialist
26731 W POINT MACKENZIE RD
WASILLA, AK 99623
Matanuska-Susitna Borough (907) 376-4534

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 Bryan Brandenburg's NPI number?

The NPI number for Bryan Brandenburg is 1508411075. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Bryan Brandenburg located?

Bryan Brandenburg practices at 26731 W Point Mackenzie Rd, Wasilla, AK 99623. The listed phone number is (907) 376-4534.

What is Bryan Brandenburg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bryan Brandenburg was last updated on January 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.