Healthcare Provider Details

I. General information

NPI: 1609704055
Provider Name (Legal Business Name): BIRCH MEDICAL BILLING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10823 E PALMER WASILLA HWY STE 2
PALMER AK
99645-9498
US

IV. Provider business mailing address

10823 E PALMER WASILLA HWY STE 2
PALMER AK
99645-9498
US

V. Phone/Fax

Practice location:
  • Phone: 907-707-3847
  • Fax: 907-313-4204
Mailing address:
  • Phone: 907-707-3847
  • Fax: 907-313-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEO PETTIT
Title or Position: OWNER
Credential: LMT
Phone: 907-707-3847