BLUEJACK SURGICAL AFFILIATES
NPI 1043869100
Physician Assistant - Surgical in Richardson, TX

NPI Status: Active since September 10, 2019

Contact Information

1202 E ARAPAHO RD STE 122
RICHARDSON, TX
ZIP 75081
Phone: (469) 250-4422
Fax: (469) 250-7068

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Physician Assistant
Surgical

About BLUEJACK SURGICAL AFFILIATES

This page provides the complete NPI Profile along with additional information for Bluejack Surgical Affiliates, a provider established in Richardson, Texas operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1043869100 assigned on September 2019. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Bluejack Surgical Affiliates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Christopher John Brock (Managing Partner)

NPI: 1043869100
Provider Name: BLUEJACK SURGICAL AFFILIATES
Entity Type: Organization
Location Address: 1202 E ARAPAHO RD STE 122 RICHARDSON, TX 75081
Location Phone: (469) 250-4422
Location Fax: (469) 250-7068
Mailing Address: 1202 E ARAPAHO RD STE 122 RICHARDSON, TX 75081
Mailing Phone: (469) 250-4422
Mailing Fax: (469) 250-7068
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-10-2019
Last Update Date: 09-10-2019
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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 Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CHRISTOPHER JOHN BROCK
Authorized Official Title: MANAGING PARTNER
Authorized Official Phone: (972) 979-6222

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 1043869100, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

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 4 → 8 8 → 16 → 7 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 6 + 6 + 1 + 8 + 1 + 0 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1043869100.