Alaska Brain Center, Llc
Specialist
4551 E Bogard Rd, Wasilla
Alaska, 99654-6075
907-373-6500 888-456-0663
Alaska Brain Center, Llc is a Specialist in Wasilla, Alaska. It is located at 4551 E Bogard Rd, Wasilla and it's customer support contact number is 907-373-6500. The authorized person of Alaska Brain Center, Llc is Mr. Jeffrey L Sponsler, M.D., M.S. who is Owner of the pharmacy and his contact number is 907-376-6523. Active license number of Alaska Brain Center, Llc is 5128 for Specialist in Alaska. Alaska Brain Center, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Alaska Brain Center, Llc is 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.
Pharmacy Details:
Alaska Brain Center, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Alaska Brain Center, Llc |
| Type: | Specialist |
| Location: | 4551 E Bogard Rd, Wasilla,
Alaska, 99654-6075 |
| Phone: | 907-373-6500 |
| Fax: | 888-456-0663 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jeffrey L Sponsler |
| Credentials: | M.D., M.S. |
| Position: | Owner |
| Contact Number: | 907-376-6523 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1215130372 |
| NPI Enumeration Date: | 07 Jun, 2007 |
| NPI Last Update On: | 20 Jan, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alaska Brain Center, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | 5128 | Alaska | Primary | |
| Non-pharmacy Dispensing Site | 5128 | Alaska | Secondary | |
Medicare Enrollment:
Alaska Brain Center, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345213872 | O20040813000704 | Alaska Brain Center, Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4551 E Bogard Rd,
Wasilla, Alaska |
| Zip: | 99654-6075 |
| Phone Number: | 907-373-6500 |
| Fax Number: | 888-456-0663 |
Patients can reach Alaska Brain Center, Llc at
4551 E Bogard Rd, Wasilla, Alaska or can
call on customer care at 907-373-6500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.