JACK CASTEEL BRUNER MD
NPI 1982607669
Surgery in Cottonwood,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 24, 2005

Contact Information

701 Lewiston St
Cottonwood,
Post Code: 83522
Phone: (208) 962-3267
Fax: (208) 962-2313

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Jack Casteel Bruner Md in Cottonwood - Surgery

Jack Casteel Bruner Md is a Surgery in Cottonwood, . Jack Casteel Bruner Md practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jack Casteel Bruner Md is 1982607669. The last update date is 2021-08-06.

Jack Casteel Bruner Md's current location address is 701 Lewiston St, Cottonwood, . You can contact this provider via phone number (208) 962-3267 and fax number (208) 962-2313. The mailing address for Jack Casteel Bruner Md is 701 Lewiston St, Cottonwood, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1982607669
Provider Name
JACK CASTEEL BRUNER MD
Gender
Male
Entity Type
Individual
Location Address
701 Lewiston St, Cottonwood,
Location Phone
(208) 962-3267
Location Fax
(208) 962-2313
Mailing Address
Po Box 565, Cottonwood, Idaho(ID)
Mailing Phone
208-962-3267
Mailing Fax
208-962-2313
Enumeration Date
2005-05-24
Last Update Date
2021-08-06
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.
M6055
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 208600000X Surgery Physician

Surgery

M6055 (Idaho)

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
002283800 MEDICAID (05) Idaho (ID)

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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.
1982607669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2916212014612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2916212014612
2 + 9 + 1 + 6 + 2 + 1 + 2 + 0 + 1 + 4 + 6 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1982607669 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
1609879634 OPEN MRI OF BOISE, L.LC.
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Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 100 PARAGON DR
MONTVALE, New Jersey (NJ)
201-573-8080
1770586794 ST LUKES REGIONAL MEDICAL CENTER
ST LUKES MERIDIAN MEDICAL CENTER
Organization
Rehabilitation Unit PO BOX 2777
BOISE, Idaho (ID)
208-706-5000
1700889987 COUNTY OF ADA
ADA COUNTY EMERGENCY MEDICAL SERVICES
Organization
Ambulance, Land Transport 370 N. BENJAMIN LANE
BOISE, Idaho (ID)
208-287-2950
1821091083 WALTER KNOX MEMORIAL HOSPITAL
VALOR HEALTH - EMMETT MEDICAL CENTER
Organization
Clinic/Center, Rural Health 1102 E LOCUST ST
EMMETT, Idaho (ID)
208-365-6004
1457354466 A RILEY CUTLER
Individual
Dentist 13108 W PERSIMMON LN
BOISE, Idaho (ID)
208-375-0524