Provider Demographics
NPI:1215112065
Name:SWEENEY, BRIAN FELIX JR (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:FELIX
Last Name:SWEENEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 LAUREL ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5389
Mailing Address - Country:US
Mailing Address - Phone:907-562-2928
Mailing Address - Fax:907-563-4848
Practice Address - Street 1:4048 LAUREL ST
Practice Address - Street 2:SUITE 301
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5389
Practice Address - Country:US
Practice Address - Phone:907-562-2928
Practice Address - Fax:907-563-4848
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5662207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK152695OtherMEDICARE
AKMD5662Medicaid
AK1174500045OtherNPI GROUP
AKK152694OtherMEDICARE GROUP NUMBER
AKMD5662Medicaid