CLARK BRITTAIN DO PC
NPI 1215908827
Family Medicine in Bloomington,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

642 S Walker St
Bloomington,
Post Code: 47403
Phone: (812) 331-9160
Fax: (812) 336-0277

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Clark Brittain Do Pc in Bloomington - Family Medicine

Clark Brittain Do Pc is a Family Medicine in Bloomington, . Clark Brittain Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clark Brittain Do Pc is 1215908827. The last update date is 2007-10-18.

Clark Brittain Do Pc's current location address is 642 S Walker St, Bloomington, . You can contact this provider via phone number (812) 331-9160 and fax number (812) 336-0277. The mailing address for Clark Brittain Do Pc is 642 S Walker St, Bloomington, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1215908827
Provider Legal Name
CLARK BRITTAIN DO PC
Other Organization Name
CLARK BRITTAIN DO PC
Other Name Type
-
Entity Type
Organization
Location Address
642 S Walker St, Bloomington,
Location Phone
(812) 331-9160
Location Fax
(812) 336-0277
Mailing Address
642 S Walker St, Bloomington, Indiana(IN)
Mailing Phone
812-331-9160
Mailing Fax
812-336-0277
Enumeration Date
2006-01-31
Last Update Date
2007-10-18
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

Obstetrics & Gynecology, Gynecology

Taxonomy Code
207VG0400X
Type
-
License No.
-
License State
-
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 207Q00000X Family Medicine Physician

Family Medicine

()

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
000000112969 Other (non-Medicare) (01) Indiana (IN) Anthem BS
CJ4778 Other (non-Medicare) (01) Indiana (IN) Travelers Medicare

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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.
1215908827
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251801684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22251801684
2 + 2 + 2 + 5 + 1 + 8 + 0 + 1 + 6 + 8 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1215908827 is valid because the calculated check digit 7 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
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1164425187 BRIAN T LAURSEN
Individual
Physician Assistant 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1063415297 PARK VIEW PSYCHIATRIC SERVICES, PSC
Organization
Social Worker, Clinical 510 SPRING ST
JEFFERSONVILLE, Indiana (IN)
812-282-1888
1013910033 GARRICK P HUBBARD
Individual
Specialist 11590 N MERIDIAN ST STE 400
CARMEL, Indiana (IN)
317-708-2839
1023011244 SCOTT A FRETZIN
Individual
Dermatology 7910 N SHADELAND AVE
INDIANAPOLIS, Indiana (IN)
317-516-5000