1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Internal Medicine
  6. NPI Profile

BRISTOL PALLIATIVE CARE SERVICES, LLC
NPI 1467930552
Internal Medicine - Hospice and Palliative Medicine in Salt Lake City, UT

Active since August 01, 2018CLIA Certified · 2 labs
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116(801) 325-0175(801) 478-3588 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2023, May 27, 2020, May 14, 2019 and 3 more (6 updates tracked since 2018).

About Bristol Palliative Care Services, Llc NPPES

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

BRISTOL PALLIATIVE CARE SERVICES, LLC (NPI 1467930552), doing business as Bristol Advanced Illness Management, is a healthcare organization registered as a hospice and palliative medicine in Salt Lake City, Utah and active in the NPI registry since August 2018. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Melissa Broadway, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1467930552
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameBRISTOL PALLIATIVE CARE SERVICES, LLC
Location Address206 N 2100 W STE 202Salt Lake City, UT 84116-4741
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 930-5266 · Fax (801) 930-5272
Phone(801) 325-0175
Fax(801) 478-3588
Organization SubpartYesParent: Bristol Hospice, L.l.c.
Authorized OfficialMelissa BroadwayChief Clinical Officer · (801) 930-5266
Enumeration DateAugust 1, 2018
Last NPPES UpdateOctober 20, 20256 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1467930552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
206 N 2100 W STE 202, Salt Lake City, UT 84116
Open in Google Maps ↗

Other Names 1

Doing Business AsBristol Advanced Illness Management

Secondary Practice Locations 4

Location 11106 E 6600 S Ste 100Murray, UT 84121-2446 · Phone (801) 930-5266 · Fax (801) 327-7064
Location 21634 Highway 531Minden, LA 71055-6530 · Phone (225) 329-1550
Location 355 Merchant St Ste 2900Honolulu, HI 96813-4384 · Phone (808) 650-2077 · Fax (808) 441-1919
Location 45210 E Williams Cir Ste 530Tucson, AZ 85711-4459 · Phone (520) 300-9337 · Fax (520) 300-8073

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bristol Palliative Care Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Bristol Palliative Care Services, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner21
Clinical Social Worker2
Internal Medicine2
Emergency Medicine1
Family Practice1

Nearest to this location (20)

See all 27
Amy Stone, APRN
Nurse Practitioner
NPI 1922676915
888 E 3900 S
Murray, UT 84107
(801) 747-0330
✔ PECOS✔ Accepts Medicare10 mi
Michael Royall, MD
Emergency Medicine
NPI 1346532694
6734 S 2680 E
Salt Lake City, UT 84121
(801) 897-8897
✔ PECOS15 mi
Ryan Larsen, NP
Nurse Practitioner
NPI 1669968723
4403 HARRISON BLVD STE 3630
Ogden, UT 84403
(801) 387-7900
✔ PECOS✔ Accepts Medicare27 mi
April Patton, MD
Family Practice
NPI 1386887842
915 HIGHLAND BLVD
Bozeman, MT 59715
(406) 414-5446
✔ PECOS340 mi
Ma Gennylou Cassel, DNP, APRN-RX, FNP-BC
Nurse Practitioner
NPI 1578307203
12600 W COLFAX AVE STE B200
Lakewood, CO 80215
(303) 993-1330
✔ PECOS✔ Accepts Medicare370 mi
Kathylene Southard, LCSW
Clinical Social Worker
NPI 1316373715
1600 CALIFORNIA DR
Vacaville, CA 95687
(707) 448-6841
✔ PECOS559 mi
Mary Najera, FNP-C
Nurse Practitioner
NPI 1568104537
5224 W DOVE CENTRE RD
Marana, AZ 85658
(520) 616-1445
✔ PECOS✔ Accepts Medicare580 mi
Ahmad Shir, MD
Internal Medicine
NPI 1144615303
5301 E GRANT RD
Tucson, AZ 85712
(520) 327-5461
✔ PECOS✔ Accepts Medicare593 mi
Ramona Woodworth, FNP
Nurse Practitioner
NPI 1073869947
7091 E SPEEDWAY BLVD
Tucson, AZ 85710
(888) 371-3205
✔ PECOS594 mi
Sherri Tometczak, FNP-C
Nurse Practitioner
NPI 1164892790
9900 BREN RD E
Minnetonka, MN 55343
(520) 429-5228
✔ PECOS984 mi
Jennifer Wood, NP
Nurse Practitioner
NPI 1891287496
325 N SAINT PAUL ST STE 3100
Dallas, TX 75201
(254) 724-2111
✔ PECOS✔ Accepts Medicare1,001 mi
Julie Bremholm, FNP-BC
Nurse Practitioner
NPI 1467949891
219 EASTWOOD AVE
Livingston, TX 77351
(936) 327-7147
✔ PECOS✔ Accepts Medicare1,181 mi
Christie Mcdearmont
Nurse Practitioner
NPI 1881327674
1634 HIGHWAY 531
Minden, LA 71055
(225) 329-1550
✔ PECOS✔ Accepts Medicare1,182 mi
Lisa Bowling, CRNP
Nurse Practitioner
NPI 1518206572
3458 NEELY RD
Jb Mdl, NJ 08641
(609) 754-9576
✔ PECOS1,957 mi
Stephanie Rizzo-Murray, LCSW
Clinical Social Worker
NPI 1639732621
661 KIHAPAI ST APT D
Kailua, HI 96734
(808) 489-0513
✔ PECOS2,981 mi
Kathryn Farley, FNP, CNS
Nurse Practitioner
NPI 1215079728
45-602 KAMEHAMEHA HWY
Kaneohe, HI 96744
(808) 432-3800
✔ PECOS✔ Accepts Medicare2,983 mi
Abir Amirdash, APRN, AG ACNP
Nurse Practitioner
NPI 1164858155
47-435 HUI NENE ST
Kaneohe, HI 96744
(808) 469-0300
✔ PECOS2,983 mi
Shaunan Reyes, APRN
Nurse Practitioner
NPI 1467996587
888 S KING ST.
Honolulu, HI 96813
(808) 522-4000
✔ PECOS2,990 mi
Nerissa Vazquez Arroyo, FNP-BC, APRN
Nurse Practitioner
NPI 1174025449
550 S BERETANIA ST STE 501
Honolulu, HI 96813
(808) 691-8838
✔ PECOS✔ Accepts Medicare2,990 mi
Baron Wong, M.D.
Internal Medicine
NPI 1093745523
94-1080 LUMIPOLU ST
Waipahu, HI 96797
(808) 781-6833
✔ PECOS✔ Accepts Medicare2,993 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 46D2190755

Bristol Palliative Care LLC · Murray, UT
Active · expires Aug 18, 2028
CLIA Number46D2190755
Laboratory TypePalliative Care
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorDr. Richard Allen MD
Laboratory Phone(801) 990-0360
Laboratory LocationBristol Palliative Care LLC1106 East 6600 South Ste 100, Murray, UT 84121
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2332621

Bristol Palliative Care Services LLC Dba Bristol Advanced Illness Management · Tucson, AZ
Active · expires Oct 21, 2027
CLIA Number03D2332621
Laboratory TypeHospice
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorAhmad Shir
Laboratory Phone(520) 540-0020
Laboratory LocationBristol Palliative Care Services LLC Dba Bristol Advanced Illness Management5210 E Williams Circle Ste 722, Tucson, AZ 85711
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bristol Palliative Care Services, LLC's NPI number?

The NPI number for Bristol Palliative Care Services, LLC is 1467930552. It was assigned to this organization in the NPPES registry on August 1, 2018. The provider is doing business as Bristol Advanced Illness Management.

Where is Bristol Palliative Care Services, LLC located?

Bristol Palliative Care Services, LLC is located at 206 N 2100 W Ste 202, Salt Lake City, UT 84116. The listed phone number is (801) 325-0175.

What is Bristol Palliative Care Services, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Bristol Palliative Care Services, LLC enrolled in Medicare?

Yes. Bristol Palliative Care Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bristol Palliative Care Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to Bristol Palliative Care Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (21), Clinical Social Worker (2) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bristol Palliative Care Services, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bristol Palliative Care Services, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, HMO Louisiana, HMSA and Regence BlueCross BlueShield of Utah list Bristol Palliative Care Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bristol Palliative Care Services, LLC was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.