Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. BRIAN D DEMIO PHYSICIAN ASSISTANT
NPI 1902883523
Physician Assistant - Medical in Kodiak, AK

Active since December 23, 2005PECOS Enrolled
200 ALBATROSS AVE, COMMANDING OFFICER, KODIAK, AK 99615(907) 487-5757 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Brian D Demio Physician Assistant NPPES

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

MR. BRIAN D DEMIO PHYSICIAN ASSISTANT (NPI 1902883523) is an individual medical provider in Kodiak, Alaska and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902883523
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRIAN D DEMIOCredential: PHYSICIAN ASSISTANT
Location Address200 ALBATROSS AVE, COMMANDING OFFICERKodiak, AK 99615-6806
Mailing AddressPo Box 195002Kodiak, AK 99619-5002 · (907) 487-5757
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1902883523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
200 ALBATROSS AVE, Kodiak, AK 99615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Brian D Demio Physician Assistant 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902883523, enumerated as an "individual" on December 23, 2005.

The provider is located at 200 ALBATROSS AVE COMMANDING OFFICER KODIAK, AK 99615 and the phone number is (907) 487-5757.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.