Craig Michael Brumagin (NPI# 1912549098, PAC ID# 4284066911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912549098 |
| PAC ID by PECOS | 4284066911 |
| Professional Enrollment ID | I20191118001602 |
| Full Name | Craig Michael Brumagin |
| Organization Legal Name | HERITAGE FAMILY MEDICINE LLC |
| Address |
4931 E Mayflower Ln Suite 1 Wasilla AK 99665-7759 |
| Phone Number | 9073573496 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193869808 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 | 9073573496 | HERITAGE FAMILY MEDICINE LLC |
| Organization Legal Name | HERITAGE FAMILY MEDICINE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher James Sahlstrom | Family Medicine | Heritage Family Medicine LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 |
| Street Address |
4931 E MAYFLOWER LN SUITE 1 |
| City | WASILLA |
| State | AK |
| Zip | 99665-7759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher James Sahlstrom | Family Medicine | Heritage Family Medicine LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99665-7759 |
| Melanie Ja Kimmery | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Debra D Bushnell | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Yvonne M Gambini | Nurse Practitioner | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Roger A Hughes | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Patricia G Johnson | Family Medicine | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| Neil A Nardini | Physician Assistant | Alaska Family Health Centers LLC | 4931 E Mayflower Ln, Suite 1, Wasilla, AK 99654-7759 |
| City | WASILLA |
| Zip Code | 99665 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WASILLA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.