Brent Jay Meredith, MD – Family Medicine Physician

Key facts

NPI: 1184847337
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 227536 (AK)
Practice address: MP 123 Glenn Hwy
Tok, AK 99780
Phone: (907) 883-5855
NPI assigned: Apr 10, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Tanana Chiefs Conference Multi-Specialty Clinic/Center · Fairbanks, AK · NPI 1821201278

Medicare reassignment Care Compare group NPD TX
Tanana Chiefs Conference Ambulatory Surgical Clinic/Center · Fairbanks, AK · NPI 1871332387

Care Compare group
Tok Clinic, LLC Family Medicine Physician · Tok, AK · NPI 1043417959

NPD FAMILY MEDICINE
University of Utah Cardiothoracic Surgery Physician · Salt Lake City, UT · NPI 1215946066

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Fairbanks Memorial Hospital, LLC General Acute Care Hospital · Fairbanks, AK · NPI 1720537178

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Family Practice
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Tanana Chiefs Conference (148 clinicians)

Practice addresses (Care Compare)

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

Hospital & facility affiliations

Fairbanks Memorial Hospital Hospital · Fairbanks, AK · CCN 020012

Procedures performed for Medicare patients

Procedure	Number of procedures
Removal of skin lesions	1-10
Removal of nail tissue	1-10
Skin biopsy	1-10

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040304001319	TX	Practitioner - Physician Assistant	7719875590	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine, Physician Assistant

State licenses

License	State	Type	Specialty
227536	AK	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Tok Clinic, LLC	Family Medicine	Current	Accepting new patients
Tanana Chiefs Conference		Current since Jul 26, 2017	Accepting new patients
University of Utah Cardiothoracic		Past since Sep 1, 2000	Accepting new patients

Interoperability endpoints

Direct secure messaging: brent.meredith.1@15989.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	PADA1107	AK
Physician Assistant	363A00000X	PA01436	TX
Family Medicine Physician	207Q00000X	227536	AK	Yes

Addresses

Primary practice location

MP 123 Glenn Hwy
Tok, AK 99780

Mailing address

PO Box 39035
Belfast, ME 04915-1232
Phone (907) 452-8251

Other providers in Tok, AK

All providers in Tok, AK · Family Medicine Physician in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.