IndividualActive
Brandon Boothe, DO
NPI 1255022737 · Family Medicine Physician · Anchorage, AK
Provider details
- NPI number
- 1255022737
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 210828 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1201 E 36th Ave
Anchorage, AK 99508-4372
Phone: (907) 562-9229
Fax: (907) 562-1603
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4105
Portland, OR 97208-4105
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.