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

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 NPI number of this provider is 1003002262 and was 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 15 years ago. Bradley E. Samuelson, Md Pa 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)

NPI
1003002262
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
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-21-2007
Last Update Date02-19-2008

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..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

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Mailing Address

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


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name LILI SAMUELSON
Authorized Official TitleMANAGER
Authorized Official Phone(940) 687-7100

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00555YMEDICARE PIN (08)TX

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, registered as an "organization" on September 21, 2007

Where is BRADLEY E. SAMUELSON, MD PA located?

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

What kind of medical provider is BRADLEY E. SAMUELSON, MD PA?

This medical organization specializes in Internal Medicine 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?

The NPI record of BRADLEY E. SAMUELSON, MD PA 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.