BRADLEY E. SAMUELSON, MD PA
NPI 1003002262
Internal Medicine - Cardiovascular Disease in Wichita Falls, TX

NPI Status: Active since September 21, 2007

Contact Information

1004 BROOK AVE
WICHITA FALLS, TX
ZIP 76301
Phone: (940) 687-7100
Fax: (940) 687-7104

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About BRADLEY E. SAMUELSON, MD PA

Bradley E. Samuelson, Md Pa is an internist established in Wichita Falls, Texas operating as a Internal Medicine with a focus in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1003002262 assigned on September 2007. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lili Samuelson (Manager)

NPI1003002262
Provider NameBRADLEY E. SAMUELSON, MD PA
Location Address1004 BROOK AVE WICHITA FALLS, TX 76301
Location Phone(940) 687-7100
Mailing Address1004 BROOK AVE WICHITA FALLS, TX 76301
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-21-2007
Last Update Date02-19-2008
Code Navigator

An internist like Bradley E. Samuelson, Md Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Mailing Address

1004 BROOK AVE
WICHITA FALLS, TX
ZIP 76301
Phone: (940) 687-7100
Fax: (940) 687-7104

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

Internal Medicine Cardiovascular Disease

Taxonomy Code207RC0000X
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LILI SAMUELSON

Authorized Official TitleMANAGER
Authorized Official Phone(940) 687-7100

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
00555YMEDICARE PIN (08)TX 

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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.
1003002262
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003004212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 4 + 2 + 1 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003002262 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912015165DR. BRADLEY E SAMUELSON M.D
Individual
Internal Medicine (Cardiovascular Disease)1004 BROOK AVE
WICHITA FALLS, TX 76301
(940) 687-7100
1528000841DR. SANDRA VERGARA DDS, PA
Individual
Dentist (Oral and Maxillofacial Surgery)1004 BROOK AVE
WICHITA FALLS, TX 76301
(940) 264-6000

Frequently Asked Questions

What is BRADLEY E. SAMUELSON, MD PA NPI number?

The NPI number assigned to this healthcare provider is 1003002262, enumerated in the NPI registry as an "organization" on September 21, 2007

Where is the provider located?

The provider is located at 1004 Brook Ave Wichita Falls, Tx 76301 and the phone number is (940) 687-7100

What is the provider specialty code?

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

What insurance does BRADLEY E. SAMUELSON, MD PA accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

How do I update my NPI information?

This NPI record was last updated on September 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.