BRIAN E GRANVALL PA-C
NPI 1205809852
Physician Assistant in Corvallis,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 13, 2006

Contact Information

Po Box 1108
Corvallis,
Post Code: 97339
Phone: (208) 381-2094
Fax: (208) 381-1791

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Brian E Granvall Pa-c in Corvallis - Physician Assistant

Brian E Granvall Pa-c is a Physician Assistant in Corvallis, . Brian E Granvall Pa-c practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian E Granvall Pa-c is 1205809852. The last update date is 2022-01-31.

Brian E Granvall Pa-c's current location address is Po Box 1108, Corvallis, . You can contact this provider via phone number (208) 381-2094 and fax number (208) 381-1791. The mailing address for Brian E Granvall Pa-c is Po Box 1108, Corvallis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1205809852
Provider Name
BRIAN E GRANVALL PA-C
Gender
Male
Entity Type
Individual
Location Address
Po Box 1108, Corvallis,
Location Phone
(208) 381-2094
Location Fax
(208) 381-1791
Mailing Address
190 E Bannock St, Boise, Idaho(ID)
Mailing Phone
208-381-2094
Mailing Fax
208-381-1791
Enumeration Date
2006-02-13
Last Update Date
2022-01-31
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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
PA-1042
License State
Idaho (ID)
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 363A00000X Physician Assistant

Physician Assistant

0110002940 (Virginia)
2 363A00000X Physician Assistant

Physician Assistant

PA10004399 (Washington)
3 363A00000X Physician Assistant

Physician Assistant

PA 00846 (Oregon)
4 363AS0400X Surgical Physician Assistant

Physician Assistant, Surgical

C04233 (Maryland)

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
8326142 MEDICAID (05) Washington (WA)

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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.
1205809852
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220516018810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 220516018810
2 + 2 + 0 + 5 + 1 + 6 + 0 + 1 + 8 + 8 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1205809852 is valid because the calculated check digit 2 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
1033112271 DAVID CANDELARIA
Individual
Family Medicine 280 MAPLE ST
ASHLAND, Oregon (OR)
541-201-4000
1174526313 BRIAN LETTS
Individual
Emergency Medicine 2801 ST ANTHONY WAY
PENDLETON, Oregon (OR)
541-276-5121
1043213143 PHILIP Y PADEN EYE CARE OPTICAL
PADEN EYE CARE OPTICAL
Organization
Eyewear Supplier (Equipment, not the service) 221 W STEWART AVE
MEDFORD, Oregon (OR)
541-776-9026
1104829258 AVAMERE MEDICAL SUPPLY LLC
SIGNATURE MEDICAL SUPPLY
Organization
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition 25117 SW PARKWAY AVE
WILSONVILLE, Oregon (OR)
503-783-2483
1164425823 CPAP RESOURCE, LLC
Organization
Durable Medical Equipment & Medical Supplies 2940 PENNINGTON DR
MEDFORD, Oregon (OR)
541-282-9944