Active NPI
Brigham Pediatrics
Doing business as Farr West Pediatrics
- Pediatric Adolescent Medicine Physician
- Brigham City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 313975-1205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0996039 | Brigham Pediatrics | Certificate of waiver | Feb 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Layton, UT
- NPI 1295710960
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1407025794
-
- Physician Assistant
- Layton, UT
- NPI 1386399467
-
- Pediatrics Physician
- Brigham City, UT
- NPI 1164523494
-
- Family Nurse Practitioner
- Garland, UT
- NPI 1992090104
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.