Healthcare Provider Details

I. General information

NPI: 1316841232
Provider Name (Legal Business Name): JONATHAN ADAM MCBRIEN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W NORTHERN LIGHTS BLVD STE 400
ANCHORAGE AK
99503-2648
US

IV. Provider business mailing address

301 W NORTHERN LIGHTS BLVD STE 400
ANCHORAGE AK
99503-2648
US

V. Phone/Fax

Practice location:
  • Phone: 907-563-4810
  • Fax:
Mailing address:
  • Phone: 907-563-4810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number261236
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: