BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC
NPI 1053650234
Substance Abuse Rehabilitation Facility in Morgan, TX
NPI Status: Active since February 07, 2013
Contact Information
257 FM 927 CR
MORGAN, TX
ZIP 76671
Phone: (254) 775-4088
Fax: (267) 795-9510
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 45D2067526
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 10-15-2025
About BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC
This page provides the complete NPI Profile along with additional information for Brazos Intensive Outpatient Program, Llc, a provider established in Morgan, Texas operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1053650234 assigned on February 2013. The practitioner's primary taxonomy code is 324500000X with license number 3593-3594 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ben Patterson (Ceo)
- NPI
- 1053650234
- Provider Name
- BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC
- Entity Type
- Organization
- Location Address
- 257 FM 927 CR MORGAN, TX 76671
- Location Phone
- (254) 775-4088
- Location Fax
- (267) 795-9510
- Mailing Address
- 1114 LOST CREEK BLVD STE 500 AUSTIN, TX 78746
- Mailing Phone
- (512) 308-6032
- Mailing Fax
- (267) 795-9510
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2013
- Last Update Date
- 03-18-2013
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 3593-3594
- License State
- TX
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3593-3594 | OTHER (01) | TX | FACILITY LICENSE NUMBER |
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
- 45D2067526
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- October 16, 2023
- Certificate Expiration Date
- October 15, 2025
- Laboratory Director
- CLAYTON PICKERING DO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brazos Intensive Outpatient Program, 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.
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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 1053650234, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MORGAN, TX 76671
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053650234, enumerated as an "organization" on February 07, 2013.
The provider is located at 257 FM 927 CR MORGAN, TX 76671 and the phone number is (254) 775-4088.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.
