BRADFORD EMERGENCY GROUP LLC
NPI 1003351818
Emergency Medicine in Starke, FL
NPI Status: Active since January 03, 2017
Contact Information
922 E CALL ST
STARKE, FL
ZIP 32091
Phone: (904) 368-2300
Fax: (304) 368-2306
- Organization
- Emergency Medicine
- CLIA Number: 10D2210347
- CLIA Cert. Type: Other - COUNTY JAIL
- CLIA Exp. Date: 01-20-2027
About BRADFORD EMERGENCY GROUP LLC
This page provides the complete NPI Profile along with additional information for Bradford Emergency Group Llc, a provider established in Starke, Florida operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1003351818 assigned on January 2017. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Bradford Emergency Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Lisha Falk (Vp Of Contracting)
- NPI
- 1003351818
- Provider Name
- BRADFORD EMERGENCY GROUP LLC
- Entity Type
- Organization
- Location Address
- 922 E CALL ST STARKE, FL 32091
- Location Phone
- (904) 368-2300
- Location Fax
- (304) 368-2306
- Mailing Address
- 200 CORPORATE BLVD LAFAYETTE, LA 70508
- Mailing Phone
- (800) 893-9698
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2017
- Last Update Date
- 01-03-2017
- Code Navigator
Location Map
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2210347
- Facility Type
- Other - COUNTY JAIL
- Certificate Effective Date
- January 21, 2025
- Certificate Expiration Date
- January 20, 2027
- Laboratory Director
- PETER GIANAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bradford Emergency Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 0 | 3 | 3 | 5 | 1 | 8 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 6 | 5 | 2 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 6 + 5 + 2 + 8 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1003351818 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. RYAN LEIGH GRIFFIN M.D.
Hospitalist
922 E CALL ST
STARKE, FL
ZIP 32091
DR. DEAN STANTON WHITE M.D.
Emergency Medicine
922 E CALL ST
STARKE, FL
ZIP 32091
DR. MOLLY A WHITE MD
Emergency Medicine
922 E CALL ST
STARKE, FL
ZIP 32091
DR. ROBERT H HARDAGE JR. M.D.
Radiology
(Diagnostic Radiology)
922 E CALL ST
STARKE, FL
ZIP 32091
LINDA CAROLE RESTEA CRNA
Nurse Anesthetist, Certified Registered
922 E CALL ST
STARKE, FL
ZIP 32091
CARDIOLOGY ASSOCIATES OF GAINESVILLE
Internal Medicine
(Cardiovascular Disease)
922 E CALL ST
STARKE, FL
ZIP 32091
IPN EMERGENCY PHYSICIANS OF NORTH FLORIDA PA
Emergency Medicine
922 E CALL ST
STARKE, FL
ZIP 32091
STARKE HMA MEDICAL GROUP LLC
Family Medicine
922 E CALL ST
STARKE, FL
ZIP 32091
DOROTHY FOX RPH
Pharmacist
922 E CALL ST
STARKE, FL
ZIP 32091
WILLIAM SHALLCROSS
Pharmacist
922 E CALL ST
STARKE, FL
ZIP 32091
MRS. JENNY MARIA DODSON PA-C
Physician Assistant
922 E CALL ST
STARKE, FL
ZIP 32091
MRS. STACCIE ANNE ALLEN NP
Nurse Practitioner
(Acute Care)
922 E CALL ST
STARKE, FL
ZIP 32091
STARKE HMA LLC
Medicare Defined Swing Bed Unit
922 E CALL ST
STARKE, FL
ZIP 32091
STARKE HMA, LLC
General Acute Care Hospital
(Critical Access)
922 E CALL ST
STARKE, FL
ZIP 32091
MR. FREDERICK JASON MCNEW PA-C
Physician Assistant
922 E CALL ST
STARKE, FL
ZIP 32091
DR. DAVID ELIOT KEMP M.D.
Family Medicine
922 E CALL ST
STARKE, FL
ZIP 32091
CARDIOLOG ASSOCIATES OF GAINESVILLE
Specialist
922 E CALL ST
STARKE, FL
ZIP 32091
UPPERLINE HEALTHCARE, PC
Podiatrist
(Foot Surgery)
922 E CALL ST
STARKE, FL
ZIP 32091
UPPERLINE HEALTHCARE, PC
Podiatrist
(Foot Surgery)
922 E CALL ST
STARKE, FL
ZIP 32091
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Pathology
(Anatomic Pathology & Clinical Pathology)
922 E CALL ST
STARKE, FL
ZIP 32091
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003351818, enumerated as an "organization" on January 03, 2017.
The provider is located at 922 E CALL ST STARKE, FL 32091 and the phone number is (904) 368-2300.
Emergency Medicine with taxonomy code 207P00000X.
