BROOKSIDE FAMILY MEDICINE INC
NPI 1053539874
Family Medicine - Hospice and Palliative Medicine in Kansas City, MO

NPI Status: Active since April 24, 2007

Contact Information

7130 WORNALL RD
KANSAS CITY, MO
ZIP 64114
Phone: (816) 523-9355
Fax: (816) 523-9358

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  • Organization
  • Family Medicine
  • Hospice and Palliative Medicine

About BROOKSIDE FAMILY MEDICINE INC

This page provides the complete NPI Profile along with additional information for Brookside Family Medicine Inc, a provider established in Kansas City, Missouri operating as a Family Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1053539874 assigned on April 2007. The practitioner's primary taxonomy code is 207QH0002X with license number 118396 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Anne Kisner (Practice Administrator)

NPI
1053539874
Provider Name
BROOKSIDE FAMILY MEDICINE INC
Entity Type
Organization
Location Address
7130 WORNALL RD KANSAS CITY, MO 64114
Location Phone
(816) 523-9355
Location Fax
(816) 523-9358
Mailing Address
7130 WORNALL RD KANSAS CITY, MO 64114
Mailing Phone
(816) 523-9355
Mailing Fax
(816) 523-9358
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2007
Last Update Date
08-22-2020
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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

Family Medicine Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
Allopathic & Osteopathic Physicians
License No.
118396
License State
MO
Taxonomy Description
A 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MRS. ANNE KISNER

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(816) 523-9355

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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 1053539874, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 5 → 10 → 1 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 0 + 3 + 1 + 8 + 8 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053539874.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
7130 WORNALL RD
KANSAS CITY, MO 64114
Nurse Practitioner
7130 WORNALL RD
KANSAS CITY, MO 64114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053539874, enumerated as an "organization" on April 24, 2007.

The provider is located at 7130 WORNALL RD KANSAS CITY, MO 64114 and the phone number is (816) 523-9355.

Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.