NICOLE STACK BROERMAN MD
NPI 1013902741
Pediatrics in Hinesville,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 19, 2005

Contact Information

Po Box 919
Hinesville,
Post Code: 31310
Phone: (912) 369-9400
Fax: -

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Nicole Stack Broerman Md in Hinesville - Pediatrics

Nicole Stack Broerman Md is a Pediatrics in Hinesville, . Nicole Stack Broerman Md practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nicole Stack Broerman Md is 1013902741. The last update date is 2018-04-17.

Nicole Stack Broerman Md's current location address is Po Box 919, Hinesville, . You can contact this provider via phone number (912) 369-9400 and fax number -. The mailing address for Nicole Stack Broerman Md is Po Box 919, Hinesville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013902741
Provider Name
NICOLE STACK BROERMAN MD
Gender
Female
Entity Type
Individual
Location Address
Po Box 919, Hinesville,
Location Phone
(912) 369-9400
Location Fax
-
Mailing Address
462 Elma G Miles Pkwy, Hinesville, Georgia(GA)
Mailing Phone
912-369-9400
Mailing Fax
912-877-9438
Enumeration Date
2005-09-19
Last Update Date
2018-04-17
Code Navigator

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

Pediatrics

Taxonomy Code
208000000X
Type
-
License No.
47265
License State
Georgia (GA)
Taxonomy Description
-

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
T74835 MEDICAID (05) Georgia (GA)

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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.
1013902741
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023180478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2023180478
2 + 0 + 2 + 3 + 1 + 8 + 0 + 4 + 7 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1013902741 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013901800 CAMELOT HEALTHCARE MANAGEMENT INC
SUNCARE RESPIRATORY SERVICES
Organization
Durable Medical Equipment & Medical Supplies 4656 SW 74TH AVE
MIAMI, Florida (FL)
305-267-2278
1013901156 KENNETH ALLEN THISDALE
Individual
Speech-Language Pathologist, 948 WOOD DUCK CT
SNELLVILLE, Georgia (GA)
404-964-7808
1013900976 D. TERRENCE FOSTER
Individual
Physical Medicine & Rehabilitation PO BOX 824
MORROW, Georgia (GA)
678-284-4000
1013900919 NEIL S LAVA
Individual
Psychiatry & Neurology, Neurology 12 EXECUTIVE PARK DRIVE
ATLANTA, Georgia (GA)
404-778-3444
1013900802 ISTVAN BALOG
Individual
Family Medicine 147 BELLE POINT PKWY
BRUNSWICK, Georgia (GA)
912-466-0766