BEDFORD INTERVENTIONAL PAIN CENTER, LLC
NPI 1023379211
Nurse Anesthetist, Certified Registered in Bedford, TX
NPI Status: Active since June 04, 2012
Contact Information
1305 AIRPORT FWY
SUITE 103,
BEDFORD, TX
ZIP 76021
Phone: (972) 234-4740
Fax: (817) 571-0897
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 45D0484878
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About BEDFORD INTERVENTIONAL PAIN CENTER, LLC
This page provides the complete NPI Profile along with additional information for Bedford Interventional Pain Center, Llc, a provider established in Bedford, Texas operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1023379211 assigned on June 2012. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Tracy Walls (Manager)
- NPI
- 1023379211
- Provider Name
- BEDFORD INTERVENTIONAL PAIN CENTER, LLC
- Entity Type
- Organization
- Location Address
- 1305 AIRPORT FWY SUITE 103, BEDFORD, TX 76021
- Location Phone
- (972) 234-4740
- Location Fax
- (817) 571-0897
- Mailing Address
- PO BOX 674160 DALLAS, TX 75267
- Mailing Phone
- (972) 479-1115
- Mailing Fax
- (817) 571-0897
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2012
- Last Update Date
- 06-06-2016
- 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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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 | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 45D0484878
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- RODOLFO A. HERRERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bedford Interventional Pain Center, 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.
Reviews for BEDFORD INTERVENTIONAL PAIN CENTER, LLC
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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 | 2 | 3 | 3 | 7 | 9 | 2 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 6 | 7 | 18 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 6 + 7 + 1 + 8 + 2 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1023379211 is valid because the calculated check digit 1 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.
SCOTT HALL M.D.
Psychiatry & Neurology
(Neurology)
1305 AIRPORT FWY
STE 205
BEDFORD, TX
ZIP 76021
SLEEP ANALYSIS CENTERS OF TEXAS, LP
Clinical Medical Laboratory
1305 AIRPORT FWY
STE 410
BEDFORD, TX
ZIP 76021
DAVID BRIAN KANER DO
Internal Medicine
1305 AIRPORT FWY
STE 220
BEDFORD, TX
ZIP 76021
MUNAWAR HAIDER MD
Family Medicine
1305 AIRPORT FWY
STE 220
BEDFORD, TX
ZIP 76021
KANER MEDICAL GROUP PA
Internal Medicine
1305 AIRPORT FWY
STE 220
BEDFORD, TX
ZIP 76021
DR. SHARHONDA MARTIN
Family Medicine
1305 AIRPORT FWY
STE 220
BEDFORD, TX
ZIP 76021
MR. FRANK HARVEY SWORDS D.O.
Orthopaedic Surgery
1305 AIRPORT FWY
SUITE 101
BEDFORD, TX
ZIP 76021
JULIE L PEARSON PA
Physician Assistant
1305 AIRPORT FWY
SUITE 405
BEDFORD, TX
ZIP 76021
CAROL L SAUNDERS RN BSN RNFA
Registered Nurse
(Registered Nurse First Assistant)
1305 AIRPORT FWY
STE 121
BEDFORD, TX
ZIP 76021
AGATENO TECHNOLOGIES, LLC
Durable Medical Equipment & Medical Supplies
1305 AIRPORT FWY
SUITE 410
BEDFORD, TX
ZIP 76021
BEDFORD MEDICAL ASSOCIATES
Internal Medicine
1305 AIRPORT FWY
STE 421
BEDFORD, TX
ZIP 76021
ADVANCED MEDICAL ENTERPRISES LP
Durable Medical Equipment & Medical Supplies
1305 AIRPORT FWY
SUITE 120
BEDFORD, TX
ZIP 76021
NOCTURNA OF KELLER LP
Clinic/Center
(Sleep Disorder Diagnostic)
1305 AIRPORT FWY
SUITE 120
BEDFORD, TX
ZIP 76021
HEB INTERVENTIONAL PAIN CENTER LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
MPM INTERVENTIONAL PAIN CENTER LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
HARWOOD PAIN CENTER LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
DAVINCI PAIN CENTER, LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
SOUTHLAKE INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
PRESTONWOOD PAIN CENTER, LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
KELLER INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center
(Pain)
1305 AIRPORT FWY
SUITE 103
BEDFORD, TX
ZIP 76021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023379211, enumerated as an "organization" on June 04, 2012.
The provider is located at 1305 AIRPORT FWY SUITE 103, BEDFORD, TX 76021 and the phone number is (972) 234-4740.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
