BRIDGE CENTERS LLC
NPI 1063255024
Pediatrics - Developmental - Behavioral Pediatrics in Eagan, MN

NPI Status: Active since June 17, 2024

Contact Information

4310 N WOODGATE LN
EAGAN, MN
ZIP 55122
Phone: (952) 492-1031

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  • Organization
  • Pediatrics
  • Developmental - Behavioral Pediatrics

About BRIDGE CENTERS LLC

This page provides the complete NPI Profile along with additional information for Bridge Centers Llc, a pediatrician established in Eagan, Minnesota operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1063255024 assigned on June 2024. The practitioner's primary taxonomy code is 2080P0006X. The provider is registered as an organization and their NPI record was last updated one year ago. Bridge Centers Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Abdifatah Abdullahi Mohamed (Director)

NPI
1063255024
Provider Name
BRIDGE CENTERS LLC
Entity Type
Organization
Location Address
4310 N WOODGATE LN EAGAN, MN 55122
Location Phone
(952) 492-1031
Mailing Address
4310 N WOODGATE LN EAGAN, MN 55122
Mailing Phone
(952) 492-1031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2024
Last Update Date
06-17-2024
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A pediatrician like Bridge Centers Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ABDIFATAH ABDULLAHI MOHAMED

Authorized Official Title
DIRECTOR
Authorized Official Phone
(952) 492-1031

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063255024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123451004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 5 + 1 + 0 + 0 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1063255024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972291425LEARNING CIRCLE
Organization
Community/Behavioral Health4310 N WOODGATE LN
EAGAN, MN 55122
(206) 407-7256
1053152850 OMER MOALIM
Individual
Behavior Technician4310 N WOODGATE LN
EAGAN, MN 55122
(651) 402-8028
1417790221 HAFZA MOHAMED MOHAMOUD
Individual
Behavior Technician4310 N WOODGATE LN
EAGAN, MN 55122
(952) 492-1031
1720822448 SALMA YASIR AMOUD
Individual
Behavior Technician4310 N WOODGATE LN
EAGAN, MN 55122
(651) 402-8028
1194569178 AHLAM ABDALLA AWAD
Individual
Behavior Technician4310 N WOODGATE LN
EAGAN, MN 55122
(651) 402-8028
1285478305 SAHRA ABDIRAHMAN JAMA
Individual
Behavior Technician4310 N WOODGATE LN
EAGAN, MN 55122
(651) 402-8028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063255024, enumerated in the NPI registry as an "organization" on June 17, 2024

The provider is located at 4310 N Woodgate Ln Eagan, Mn 55122 and the phone number is (952) 492-1031

This medical organization specializes in Pediatrics with taxonomy code 2080P0006X with a focus in Developmental - Behavioral Pediatrics

This NPI record was last updated on June 17, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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