FAYETTEVILLE MEDICAL HOME-BRAGG
NPI 1760795769
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fayetteville, NC
NPI Status: Active since July 19, 2010
Contact Information
2350 BENTRIDGE LN
WOODLAND BLDG
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 907-9262
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About FAYETTEVILLE MEDICAL HOME-BRAGG
This page provides the complete NPI Profile along with additional information for Fayetteville Medical Home-bragg, a provider established in Fayetteville, North Carolina operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1760795769 assigned on July 2010. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Fayetteville Medical Home-bragg. The authorized official of this NPI record is Barbara Black (Ubo Manager)
- NPI
- 1760795769
- Provider Legal Name
- WOMACK ARMY MEDICAL CENTER
- Other Organization Name
- FAYETTEVILLE MEDICAL HOME-BRAGG
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2350 BENTRIDGE LN WOODLAND BLDG FAYETTEVILLE, NC 28304
- Location Phone
- (910) 907-9262
- Mailing Address
- 2817 REILLY ST MCXC-DBO-UB WAMC STOP A FORT BRAGG, NC 28310
- Mailing Phone
- (910) 907-6693
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-19-2010
- Last Update Date
- 02-11-2013
- 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
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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.
*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 |
|---|---|---|---|
| 00539 | OTHER (01) | BCBS UB-04 PROVIDER ID | |
| 0465Y | OTHER (01) | BCBS PHARMACY ID | |
| 1740377423 | OTHER (01) | PARENT FACILITY NPI | |
| VAD000 | MEDICARE UPIN (02) | ||
| 0294A | OTHER (01) | BCBS CMS 1500 PROVIDER ID | |
| OTH000 | MEDICARE UPIN (02) |
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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 | 7 | 6 | 0 | 7 | 9 | 5 | 7 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 14 | 9 | 10 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 4 + 9 + 1 + 0 + 7 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1760795769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790238335 | LIVING WELL BEHAVIORAL HEALTH, INC. Organization | Psychiatry & Neurology (Psychiatry) | 2350 BENTRIDGE LN SUITE 300 FAYETTEVILLE, NC 28304 (910) 565-2322 |
| 1063036416 | DANIEL MICHAEL PARKER PT Individual | Physical Therapist | 2350 BENTRIDGE LN FAYETTEVILLE, NC 28304 (910) 484-2171 |
| 1710692918 | DRS. ABDELBAKY, BOES, CAMERON & ASSOCIATES OF FAYETTEVILLE PLLC Organization | Dentist (Pediatric Dentistry) | 2350 BENTRIDGE LN FAYETTEVILLE, NC 28304 (919) 977-0627 |
| 1720322688 | STEPHEN DAVID JONES NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2350 BENTRIDGE LN FAYETTEVILLE, NC 28304 (109) 784-0261 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760795769, enumerated in the NPI registry as an "organization" on July 19, 2010
The provider is located at 2350 Bentridge Ln Woodland Bldg Fayetteville, Nc 28304 and the phone number is (910) 907-9262
This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. 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 July 19, 2010. 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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