DR. BRADLEY CLARK M.D.
NPI 1124354964
Emergency Medicine in Inkom, ID
NPI Status: Active since October 29, 2009
- Individual
- Male
- Emergency Medicine
About BRADLEY CLARK
This page provides the complete NPI Profile along with additional information for Bradley Clark, a provider established in Inkom, Idaho with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1124354964 assigned on October 2009. The practitioner's primary taxonomy code is 207P00000X with license number M-8299 (ID). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1124354964
- Provider Name
- DR. BRADLEY CLARK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 423 E ELAINE CIR INKOM, ID 83245
- Location Phone
- (208) 251-9482
- Mailing Address
- 423 E ELAINE CIR INKOM, ID 83245
- Mailing Phone
- (208) 251-9482
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-29-2009
- Last Update Date
- 10-29-2009
- Code Navigator
Location Map
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M-8299
- License State
- ID
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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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. | |||||||||
| 1 | 1 | 2 | 4 | 3 | 5 | 4 | 9 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 6 | 5 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 6 + 5 + 8 + 9 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1124354964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124354964, enumerated in the NPI registry as an "individual" on October 29, 2009
The provider is located at 423 E Elaine Cir Inkom, Id 83245 and the phone number is (208) 251-9482
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
This NPI record was last updated on October 29, 2009. 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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