HOSPICE BRAZOS VALLEY, INC. NPI 1043633746
Family Medicine - Hospice and Palliative Medicine in Bryan, TX

About HOSPICE BRAZOS VALLEY, INC.

Hospice Brazos Valley, Inc. is a provider established in Bryan, Texas operating as a Family Medicine with a focus in hospice and palliative medicine . The NPI number of Hospice Brazos Valley, Inc. is 1043633746 and was assigned on January 2014. The practitioner's primary taxonomy code is 207QH0002X with license number 2186 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. Hospice Brazos Valley, Inc. 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 Mr. Craig Borchardt Ph.d. (President/ceo)

NPI
1043633746
Provider NameHOSPICE BRAZOS VALLEY, INC.
Location Address502 W 26TH ST BRYAN, TX 77803
Location Phone(979) 821-2266
Mailing Address502 W 26TH ST BRYAN, TX 77803
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date01-31-2014
Last Update Date01-31-2014



The CLIA number of Hospice Brazos Valley, Inc. is 45D1008128 registered as a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hospice Brazos Valley, Inc. 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.



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 Code207QH0002X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHospice and Palliative Medicine
License No.2186
License StateTX
Taxonomy DescriptionA family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Accepted Insurance

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

  • Medicaid
  • Medicare

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

Business Address

HOSPICE BRAZOS VALLEY, INC.
502 W 26TH ST
BRYAN, TX
ZIP 77803
Phone: (979) 821-2266

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Mailing Address

HOSPICE BRAZOS VALLEY, INC.
502 W 26TH ST
BRYAN, TX
ZIP 77803
Phone: (979) 821-2266


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 NameMR. CRAIG BORCHARDT PH.D.
Authorized Official TitlePRESIDENT/CEO
Authorized Official Phone(979) 821-2266

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 the NPI number 1043633746 is:

CLIA Number45D1008128
Facility TypeHOSPICE
Certificate TypeCertificate of Waiver

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.

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 Identifier Issuer
451547MEDICARE PIN (08)TX
2037MEDICAID (05)TX
2186OTHER (01)TXDEPT. OF AGING

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.
1043633746
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083123678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 2 + 3 + 6 + 7 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1043633746 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245232149HOSPICE BRAZOS VALLEY, INC.
Organization
Hospice Care, Community Based502 W 26TH ST
BRYAN, TX 77803
(979) 821-2266

Frequently Asked Questions

What is HOSPICE BRAZOS VALLEY, INC. NPI number?

The NPI number assigned to HOSPICE BRAZOS VALLEY, INC. is 1043633746, registered as an "organization" on January 31, 2014

Where is HOSPICE BRAZOS VALLEY, INC. located?

The provider is located at 502 W 26th St Bryan, Tx 77803 and the phone number is (979) 821-2266

What kind of medical provider is HOSPICE BRAZOS VALLEY, INC.?

This medical organization specializes in Family Medicine with a focus in Hospice and Palliative Medicine

What insurance does HOSPICE BRAZOS VALLEY, INC. accept?

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

What is HOSPICE BRAZOS VALLEY, INC. CLIA number?

The provider's CLIA number is 45D1008128 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

How do I update my NPI information?

The NPI record of HOSPICE BRAZOS VALLEY, INC. was last updated on January 31, 2014. 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]
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