BROCK LAMONT VANCE PA-C
NPI 1003512245
Physician Assistant - Medical in West Wendover, NV

NPI Status: Active since January 31, 2023

Contact Information

925 WELLS AVENUE
WEST WENDOVER, NV
ZIP 89883
Phone: (775) 664-2220
Fax: (775) 664-2965

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About BROCK VANCE

This page provides the complete NPI Profile along with additional information for Brock Vance, a primary care provider established in West Wendover, Nevada with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1003512245 assigned on January 2023. The practitioner's primary taxonomy code is 363AM0700X with license number PA2775 (NV). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1003512245
Provider Name
BROCK LAMONT VANCE PA-C
Gender
Male
Entity Type
Individual
Location Address
925 WELLS AVENUE WEST WENDOVER, NV 89883
Location Phone
(775) 664-2220
Location Fax
(775) 664-2965
Mailing Address
PO BOX 2734 WEST WENDOVER, NV 89883
Is Sole Proprietor?
No
Enumeration Date
01-31-2023
Last Update Date
01-02-2025
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A primary care provider (PCP) like Brock Vance sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA2775
License State
NV

Medicare Participation & PECOS Enrollment Status

Brock Vance is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003512245, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 0 + 1 + 4 + 2 + 8 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003512245.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacy (Clinic Pharmacy)
925 WELLS AVENUE
W. WENDOVER, NV 89883
Physician Assistant
925 WELLS AVENUE
W. WENDOVER, NV 89883
Clinic/Center (Federally Qualified Health Center (FQHC))
925 WELLS AVENUE, BOX 3520
WEST WENDOVER, NV 89883
Physician Assistant (Medical)
925 WELLS AVENUE, P.O. BOX 3520
WEST WENDOVER, NV 89883

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003512245, enumerated as an "individual" on January 31, 2023.

The provider is located at 925 WELLS AVENUE WEST WENDOVER, NV 89883 and the phone number is (775) 664-2220.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.