PALMER FAMILY MEDICINE INC
NPI 1356368054
Family Medicine in Palmer, AK

NPI Status: Active since July 17, 2006

Contact Information

634 S BAILEY ST
SUITE 104
PALMER, AK
ZIP 99645
Phone: (907) 746-2345

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 02D1056529
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-17-2026

About PALMER FAMILY MEDICINE INC

This page provides the complete NPI Profile along with additional information for Palmer Family Medicine Inc, a primary care provider established in Palmer, Alaska operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1356368054 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 4291 (AK). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jason Ward Brooks M.d. (Physician)

NPI
1356368054
Provider Name
PALMER FAMILY MEDICINE INC
Entity Type
Organization
Location Address
634 S BAILEY ST SUITE 104 PALMER, AK 99645
Location Phone
(907) 746-2345
Mailing Address
3680 S SKY RANCH LOOP PALMER, AK 99645
Mailing Phone
(907) 746-0470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2006
Last Update Date
02-07-2014
Code Navigator

A primary care provider (PCP) like Palmer Family Medicine Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
4291
License State
AK
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON WARD BROOKS M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(907) 746-0470

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K160763MEDICARE PIN (08)AK 
1020812MEDICAID (05)AK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D1056529
Facility Type
Physician Office
Certificate Effective Date
July 18, 2024
Certificate Expiration Date
July 17, 2026
Laboratory Director
JASON W. BROOKS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Palmer Family Medicine Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for PALMER FAMILY MEDICINE INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356368054, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 6 + 6 + 1 + 6 + 0 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1356368054.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Marriage & Family Therapist
634 S BAILEY ST, SUITE 207
PALMER, AK 99645
Marriage & Family Therapist
634 S BAILEY ST, SUITE 207
PALMER, AK 99645
Marriage & Family Therapist
634 S BAILEY ST, SUITE 207
PALMER, AK 99645
Family Medicine
634 S BAILEY ST, STE 104
PALMER, AK 99645
Clinical Neuropsychologist
634 S BAILEY ST, STE 106
PALMER, AK 99645
Community/Behavioral Health
634 S BAILEY ST, 106
PALMER, AK 99645
Nurse Practitioner (Psychiatric/Mental Health)
634 S BAILEY ST, SUITE 207
PALMER, AK 99645
Nurse Practitioner (Psychiatric/Mental Health)
634 S BAILEY ST
PALMER, AK 99645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356368054, enumerated as an "organization" on July 17, 2006.

The provider is located at 634 S BAILEY ST SUITE 104 PALMER, AK 99645 and the phone number is (907) 746-2345.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.