Bruck Clift MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

7621 Issued in AK

Legal business name

BRUCK CLIFT MD LLC

Practice address

1901 North Hemmer Road Suite 110
Palmer, AK 99645

Phone

(907) 746-6686

Fax

(907) 745-7182

NPI assigned

Dec 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nicholas Braman

Title

Business Manager

Phone

(907) 746-6686

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bruck Clift MD Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruck A Clift, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1790005551
  Medicare reassignment NPD
• Brian Kip Coyne, DPM

  • Podiatrist
  • Palmer, AK
  • NPI 1407986979
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1154865228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2646",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-6686",
            "fax_number": "907-745-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NORTH HEMMER ROAD SUITE 110",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-6686",
            "fax_number": "907-745-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCK CLIFT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "BRAMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "907-746-6686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "MEDS7621",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "7621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659361",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruck Clift MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bruck Clift MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garland Brooks
• Jason Brooks, MD
• Grace Brown
• Rebecca Browning, BS, MS
• Dane Sidney Brubaker, PHAMD
• Kolten W Brueggeman
• A'Lise N Bruns, LCSW
• Meredith Buchanan, M.S.
• Ashley Burdick
• Spencer Howell Burgess

• Medical Specialty Clinic/Center in Palmer, AK
• Providers in Palmer, AK by specialty
• Medical Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.