BRIAN D ANDERSON DO
NPI 1134124191
Emergency Medicine in Moline,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 16, 2005

Contact Information

2526 41st St
Moline,
Post Code: 61265
Phone: (309) 792-6540
Fax: (309) 764-9326

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Brian D Anderson Do in Moline - Emergency Medicine

Brian D Anderson Do is a Emergency Medicine in Moline, . Brian D Anderson Do practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brian D Anderson Do is 1134124191. The last update date is 2023-01-16.

Brian D Anderson Do's current location address is 2526 41st St, Moline, . You can contact this provider via phone number (309) 792-6540 and fax number (309) 764-9326. The mailing address for Brian D Anderson Do is 2526 41st St, Moline, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1134124191
Provider Name
BRIAN D ANDERSON DO
Gender
Male
Entity Type
Individual
Location Address
2526 41st St, Moline,
Location Phone
(309) 792-6540
Location Fax
(309) 764-9326
Mailing Address
865 Lincoln Rd, Bettendorf, Iowa(IA)
Mailing Phone
563-355-9191
Mailing Fax
563-355-3419
Enumeration Date
2005-06-16
Last Update Date
2023-01-16
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
036098957
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207P00000X Emergency Medicine Physician

Emergency Medicine

036-098957 (Illinois)

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
036098957 MEDICAID (05) Illinois (IL)
048462 Other (non-Medicare) (01) () Health Alliance
20212 Other (non-Medicare) (01) () Iowa Health Solutions
479890019 Other (non-Medicare) (01) () DMERC
90767 Other (non-Medicare) (01) Iowa (IA) Wellmark BC/BS
IL01G3 Other (non-Medicare) (01) () John Deere Health Plan

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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.
1134124191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164228118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2164228118
2 + 1 + 6 + 4 + 2 + 2 + 8 + 1 + 1 + 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 1134124191 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
1134122617 SHEILA ANNE BERNDT
Individual
Family Medicine 6840 WINDSOR AVE
BERWYN, Illinois (IL)
708-484-0042
1134121965 MAKIKO OGINO-MCELLIGOTT
Individual
Physician Assistant 525 E CONGRESS PKWY
CRYSTAL LAKE, Illinois (IL)
815-479-8020
1134121932 KEN KROMASH
Individual
Dentist, General Practice 737 N MICHIGAN AVE
CHICAGO, Illinois (IL)
312-642-8830
1134121601 PREMIER HEALTH SERVICES, INC.
PREMIER OPEN MRI OF MCHENRY COUNTY
Organization
Clinic/Center, Radiology 1154 N MAIN ST
ALGONQUIN, Illinois (IL)
847-458-1460
1134120900 DAWN REGINA GASKEY
Individual
Chiropractor 381 N YORK ST
ELMHURST, Illinois (IL)
630-478-9311