BRUCE R MADDERN MD PA
NPI 1225001589
Otolaryngology, Otolaryngology/facial Plastic Surgery in Jacksonville,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 8, 2006

Contact Information

10475 Centurion Pkwy N
Jacksonville,
Post Code: 32256
Phone: (904) 398-5437
Fax: (904) 398-3077

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Bruce R Maddern Md Pa in Jacksonville - Otolaryngology, Otolaryngology/Facial Plastic Surgery

Bruce R Maddern Md Pa is a Otolaryngology, Otolaryngology/Facial Plastic Surgery in Jacksonville, . Bruce R Maddern Md Pa practices all healthcare services and medical treatments related to Otolaryngology, Otolaryngology/Facial Plastic Surgery. The NPI Number for Bruce R Maddern Md Pa is 1225001589. The last update date is 2007-09-07.

Bruce R Maddern Md Pa's current location address is 10475 Centurion Pkwy N, Jacksonville, . You can contact this provider via phone number (904) 398-5437 and fax number (904) 398-3077. The mailing address for Bruce R Maddern Md Pa is 10475 Centurion Pkwy N, Jacksonville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1225001589
Provider Legal Name
BRUCE R MADDERN MD PA
Other Organization Name
BRUCE R MADDERN MD PA
Other Name Type
-
Entity Type
Organization
Location Address
10475 Centurion Pkwy N, Jacksonville,
Location Phone
(904) 398-5437
Location Fax
(904) 398-3077
Mailing Address
10475 Centurion Pkwy N, Jacksonville, Florida(FL)
Mailing Phone
904-398-5437
Mailing Fax
904-398-3077
Enumeration Date
2006-02-08
Last Update Date
2007-09-07
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

Otolaryngology, Pediatric Otolaryngology

Taxonomy Code
207YP0228X
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 207YX0905X Otolaryngology/Facial Plastic Surgery Physician

Otolaryngology, Otolaryngology/Facial Plastic Surgery

()

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
45553 Other (non-Medicare) (01) () BC/BS Of FL
8651 Other (non-Medicare) (01) Florida (FL) AV Med

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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.
1225001589
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245002516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2245002516
2 + 2 + 4 + 5 + 0 + 0 + 2 + 5 + 1 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9 9

The NPI number 1225001589 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1194728147 BADER PROSTHETICS & ORTHOTICS, INC
Organization
Prosthetic/Orthotic Supplier 125 CHAPMAN RD E
LUTZ, Florida (FL)
813-962-6100
1194728121 DAVID W BADOLATO
Individual
Family Medicine 6300 N. WICKHAM RD
MELBOURNE, Florida (FL)
321-433-1534
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1205839222 MICHELLE D. BACHTEL
Individual
Internal Medicine, Cardiovascular Disease 3428 N ROOSEVELT BLVD
KEY WEST, Florida (FL)
305-294-5727