Organization Active NPI

Brigham Pediatrics

Doing business as Farr West Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Brigham City, UT
National Provider Identifier
1831695923
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
313975-1205 Issued in UT
Legal business name
BRIGHAM PEDIATRICS
Practice address
980 Medical Dr Ste 2
Brigham City, UT 84302-3094
Phone
(435) 734-2433
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Kimberly D Palmer
Title
Office/Billing Manager
Phone
(435) 239-8703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 313975-1205 UT Primary

Addresses

Primary practice location

980 Medical Dr Ste 2
Brigham City, UT 84302-3094

Mailing address

PO Box 12173
Ogden, UT 84412-2173

Other names 1

  • Farr West Pediatrics Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0996039Brigham Pediatrics980 S Medical Dr #2, Brigham City, UT 84302Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

980 Medical Dr
Brigham City, UT 84302

980 S 500 W
Ste 2
Brigham City, UT 84302
Phone (435) 734-2433

2850 N 2000 W
Ste 102
Ogden, UT 84404

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1831695923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12173",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844122173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MEDICAL DR STE 2",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023094",
            "telephone_number": "435-734-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "435-239-8703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "UT",
            "license": "313975-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farr West Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farr West Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.