BRADFORD FAMILY MEDICAL CLINIC
NPI 1497052104
Clinic/Center in Bradford, TN

NPI Status: Active since February 15, 2011

Contact Information

163 E MAIN ST
BRADFORD, TN
ZIP 38316
Phone: (731) 742-2241
Fax: (731) 742-3935

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  • Organization
  • Clinic/Center

About BRADFORD FAMILY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Bradford Family Medical Clinic, a provider established in Bradford, Tennessee operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1497052104 assigned on February 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Bradford Family Medical Clinic. The authorized official of this NPI record is Mr. James Ross (Interim President And Ceo)

NPI
1497052104
Provider Legal Name
WEST TENNESSEE MEDICAL GROUP, INC.
Other Organization Name
BRADFORD FAMILY MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
163 E MAIN ST BRADFORD, TN 38316
Location Phone
(731) 742-2241
Location Fax
(731) 742-3935
Mailing Address
163 E MAIN ST BRADFORD, TN 38316
Mailing Phone
(731) 742-2241
Mailing Fax
(731) 742-3935
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-15-2011
Last Update Date
04-29-2016
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. JAMES ROSS

Authorized Official Title
INTERIM PRESIDENT AND CEO
Authorized Official Phone
(731) 541-6730

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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.
1497052104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418705410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 0 + 5 + 4 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1497052104 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 1497052104, enumerated in the NPI registry as an "organization" on February 15, 2011

The provider is located at 163 E Main St Bradford, Tn 38316 and the phone number is (731) 742-2241

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on February 15, 2011. 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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