BRUCK CLIFT MD
NPI 1154865228
Clinic/Center - Medical Specialty in Palmer, AK

Active since December 08, 2016CLIA 02D2126565 · Microscopy
1901 NORTH HEMMER ROAD SUITE 110, PALMER, AK 99645(907) 746-6686(907) 745-7182 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bruck Clift Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCK CLIFT MD (NPI 1154865228) is a healthcare organization registered as a medical specialty in Palmer, Alaska and active in the NPI registry since December 2016. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Nicholas Braman, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154865228
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBRUCK CLIFT MD LLC
Location Address1901 NORTH HEMMER ROAD SUITE 110Palmer, AK 99645
Mailing AddressPo Box 2646Palmer, AK 99645 · (907) 746-6686 · Fax (907) 745-7182
Fax(907) 745-7182
Organization SubpartNo
Authorized OfficialNicholas BramanBusiness Manager · (907) 746-6686
Enumeration DateDecember 8, 2016
Last NPPES UpdateMay 29, 2018
NPI 1154865228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in AK · 7621
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedFamily MedicineTaxonomy 207Q00000X · License MEDS7621 (AK)
1901 NORTH HEMMER ROAD SUITE 110, Palmer, AK 99645

Other Names 1

Doing Business AsBruck Clift Md

Other Identifiers 1

Medicaid1659361AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D2126565

Bruck Clift, MD, LLC · Palmer, AK
Active · expires Feb 28, 2027
CLIA Number02D2126565
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Bruck A. Clift
Laboratory Phone(907) 414-0998
Laboratory LocationBruck Clift, MD, LLC1901 N Hemmer Road, Suite 110, Palmer, AK 99645
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154865228, enumerated as an "organization" on December 08, 2016.

The provider is located at 1901 NORTH HEMMER ROAD SUITE 110 PALMER, AK 99645 and the phone number is (907) 746-6686.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.