JESSIE RAE BROVOLD ATC, ATR
NPI 1255326831
Specialist/technologist, Athletic Trainer in Waukesha,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 20, 2005

Contact Information

1111 Delafield St
Waukesha,
Post Code: 53188
Phone: (262) 544-5311
Fax: -

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Jessie Rae Brovold Atc, Atr in Waukesha - Specialist/Technologist, Athletic Trainer

Jessie Rae Brovold Atc, Atr is a Specialist/Technologist, Athletic Trainer in Waukesha, . Jessie Rae Brovold Atc, Atr practices all healthcare services and medical treatments related to Specialist/Technologist, Athletic Trainer. The NPI Number for Jessie Rae Brovold Atc, Atr is 1255326831. The last update date is 2013-04-28.

Jessie Rae Brovold Atc, Atr's current location address is 1111 Delafield St, Waukesha, . You can contact this provider via phone number (262) 544-5311 and fax number -. The mailing address for Jessie Rae Brovold Atc, Atr is 1111 Delafield St, Waukesha, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255326831
Provider Name
JESSIE RAE BROVOLD ATC, ATR
Gender
Female
Entity Type
Individual
Location Address
1111 Delafield St, Waukesha,
Location Phone
(262) 544-5311
Location Fax
-
Mailing Address
1111 Delafield St, Waukesha, Wisconsin(WI)
Mailing Phone
262-544-5311
Mailing Fax
-
Enumeration Date
2005-09-20
Last Update Date
2013-04-28
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

Specialist/Technologist, Athletic Trainer

Taxonomy Code
2255A2300X
Type
-
License No.
655-039
License State
Wisconsin (WI)
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

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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.
1255326831
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105621286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105621286
2 + 2 + 1 + 0 + 5 + 6 + 2 + 1 + 2 + 8 + 6 + 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 1255326831 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
1255326575 SUSAN M SZABO
Individual
Pediatrics 1855 S KOELLER ST
OSHKOSH, Wisconsin (WI)
920-223-7200
1255326161 LEEANN E VAN VREEDE
Individual
Counselor, Mental Health 1836 SOUTH AVE
LA CROSSE, Wisconsin (WI)
608-782-7300
1255325916 JOSE C DIAS
Individual
Family Medicine 3329 EXPRESS CT
APPLETON, Wisconsin (WI)
920-733-5900
1255325726 ERIC ADAR
Individual
Emergency Medicine 6024 N LAKE DR
WHITEFISH BAY, Wisconsin (WI)
414-671-9833
1255325205 DEIRDRE ANN WORRELL
Individual
Audiologist 1516 NORTH RIDGE DR
HUDSON, Wisconsin (WI)
715-386-1760