DR. ODIE L BRACY III PHD
NPI 1285639476
Clinical Neuropsychologist in Indianapolis, IN
NPI Status: Active since June 15, 2005
Contact Information
6555 CARROLLTON AVE
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 257-9672
Fax: (317) 257-9674
- Individual
- Male
- Clinical Neuropsychologist
About ODIE BRACY
This page provides the complete NPI Profile along with additional information for Odie Bracy, a provider established in Indianapolis, Indiana with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1285639476 assigned on June 2005. The practitioner's primary taxonomy code is 103G00000X with license number 20010368A (IN). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1285639476
- Provider Name
- DR. ODIE L BRACY III PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6555 CARROLLTON AVE INDIANAPOLIS, IN 46220
- Location Phone
- (317) 257-9672
- Location Fax
- (317) 257-9674
- Mailing Address
- 6555 CARROLLTON AVE INDIANAPOLIS, IN 46220
- Mailing Phone
- (317) 257-9672
- Mailing Fax
- (317) 257-9674
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2005
- Last Update Date
- 12-29-2010
- 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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 20010368A
- License State
- IN
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000085922 | OTHER (01) | IN | ANTHEM BC/BS |
| 521040 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 100073260 | MEDICAID (05) | IN |
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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 | 2 | 8 | 5 | 6 | 3 | 9 | 4 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 3 | 18 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 3 + 1 + 8 + 4 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1285639476 is valid because the calculated check digit 6 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 1285639476, enumerated in the NPI registry as an "individual" on June 15, 2005
The provider is located at 6555 Carrollton Ave Indianapolis, In 46220 and the phone number is (317) 257-9672
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Anthem Blue Cross,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 15, 2005. 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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