FIRST BRICK CLINIC
NPI 1174349724
Internal Medicine - Addiction Medicine in Philadelphia, PA
NPI Status: Active since November 27, 2024
Contact Information
2757 N 5TH ST
PHILADELPHIA, PA
ZIP 19133
Phone: (215) 839-9661
- Organization
- Internal Medicine
- Addiction Medicine
- CLIA Number: 39D2317524
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2027
About FIRST BRICK CLINIC
This page provides the complete NPI Profile along with additional information for First Brick Clinic, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1174349724 assigned on November 2024. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Symantha Hower (Director)
- NPI
- 1174349724
- Provider Name
- FIRST BRICK CLINIC
- Entity Type
- Organization
- Location Address
- 2757 N 5TH ST PHILADELPHIA, PA 19133
- Location Phone
- (215) 839-9661
- Mailing Address
- 4017 INDIAN GUIDE RD LAFAYETTE HILL, PA 19444
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2024
- Last Update Date
- 11-27-2024
- Code Navigator
An internist like First Brick Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2317524
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2025
- Certificate Expiration Date
- January 26, 2027
- Laboratory Director
- DR. ANIKA D. VAUGHN-COOKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to First Brick Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 4 | 3 | 4 | 9 | 7 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 6 | 4 | 18 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 6 + 4 + 1 + 8 + 7 + 4 + 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 1174349724 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518934033 | JWD INC Organization | Dentist (General Practice) | 2757 N 5TH ST PHILADELPHIA, PA 19133 (215) 739-2300 |
| 1679545750 | GARY PETNER PA-C Individual | Physician Assistant | 2757 N 5TH ST PHILADELPHIA, PA 19133 (215) 839-9661 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174349724, enumerated in the NPI registry as an "organization" on November 27, 2024
The provider is located at 2757 N 5th St Philadelphia, Pa 19133 and the phone number is (215) 839-9661
This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine
The provider's CLIA number is 39D2317524 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 27, 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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