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

NPI Status: Active since August 01, 2018

Contact Information

206 N 2100 W STE 202
SALT LAKE CITY, UT
ZIP 84116
Phone: (801) 325-0175
Fax: (801) 478-3588

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  • Organization
  • Internal Medicine
  • Hospice and Palliative Medicine
  • Accepts Insurance
  • CLIA Number: 46D2190755
  • CLIA Cert. Type: Other - PALLIATIVE CARE
  • CLIA Exp. Date: 08-18-2026

About BRISTOL PALLIATIVE CARE SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Bristol Palliative Care Services, Llc, an internist established in Salt Lake City, Utah operating as a Internal Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1467930552 assigned on August 2018. The practitioner's primary taxonomy code is 207RH0002X. The provider is registered as an organization and their NPI record was last updated one year ago. Bristol Palliative Care Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Melissa Broadway (Chief Clinical Officer)

NPI
1467930552
Provider Legal Name
BRISTOL PALLIATIVE CARE SERVICES, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
206 N 2100 W STE 202 SALT LAKE CITY, UT 84116
Location Phone
(801) 325-0175
Location Fax
(801) 478-3588
Mailing Address
206 N 2100 W STE 202 SALT LAKE CITY, UT 84116
Mailing Phone
(801) 930-5266
Mailing Fax
(801) 478-3588
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-01-2018
Last Update Date
10-20-2025
Code Navigator

An internist like Bristol Palliative Care Services, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1106 E 6600 S Ste 100
    Murray, UT 84121
    (801) 930-5266
  • 1634 Highway 531
    Minden, LA 71055
    (225) 329-1550
  • 55 Merchant St Ste 2900
    Honolulu, HI 96813
    (808) 650-2077
  • 5210 E Williams Cir Ste 530
    Tucson, AZ 85711
    (520) 300-9337

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

Internal Medicine Hospice and Palliative Medicine

Taxonomy Code
207RH0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO

*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

MELISSA BROADWAY

Authorized Official Title
CHIEF CLINICAL OFFICER
Authorized Official Phone
(801) 930-5266

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
46D2190755
Facility Type
Other - PALLIATIVE CARE
Certificate Effective Date
August 19, 2024
Certificate Expiration Date
August 18, 2026
Laboratory Director
DR. RICHARD ALLEN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bristol Palliative Care Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1467930552, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 6 → 12 → 3 9 → 18 → 9 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 8 + 3 + 0 + 5 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1467930552.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Hospice Care, Community Based
206 N 2100 W STE 202
SALT LAKE CITY, UT 84116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467930552, enumerated as an "organization" on August 01, 2018.

The provider is located at 206 N 2100 W STE 202 SALT LAKE CITY, UT 84116 and the phone number is (801) 325-0175.

Internal Medicine with taxonomy code 207RH0002X and a focus in Hospice and Palliative Medicine.

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