MR. ROBERT FRED VANDEBORNE
NPI 1053864835
Radiologic Technologist in Saint Louis, MO

NPI Status: Active since July 28, 2016

Contact Information

12647 OLIVE BLVD
SUITE 600
SAINT LOUIS, MO
ZIP 63141
Phone: (800) 325-3982
Fax: (877) 685-9880

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NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Individual
  • Male
  • Radiologic Technologist

About ROBERT VANDEBORNE

This page provides the complete NPI Profile along with additional information for Robert Vandeborne, a provider established in Saint Louis, Missouri with a medical specialization in Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1053864835 assigned on July 2016. The practitioner's primary taxonomy code is 247100000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1053864835
Provider Name
MR. ROBERT FRED VANDEBORNE
Gender
Male
Entity Type
Individual
Location Address
12647 OLIVE BLVD SUITE 600 SAINT LOUIS, MO 63141
Location Phone
(800) 325-3982
Location Fax
(877) 685-9880
Mailing Address
12647 OLIVE BLVD SUITE 600 SAINT LOUIS, MO 63141
Mailing Phone
(800) 325-3982
Mailing Fax
(877) 685-9880
Is Sole Proprietor?
No
Enumeration Date
07-28-2016
Last Update Date
07-28-2016
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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

Radiologic Technologist

Taxonomy Code
247100000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

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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 1053864835, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 8 → 16 → 7 4 → 8 3 → 6

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 + 6 + 6 + 8 + 8 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053864835.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Endodontics)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Family Medicine
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Dentist (General Practice)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Internal Medicine (Infectious Disease)
12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCES
SAINT LOUIS, MO 63141
Dentist (Oral and Maxillofacial Surgery)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist (General Practice)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Physician Assistant
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dietitian, Registered
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Pharmacist
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
Anesthesiology
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
General Practice
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
Dentist (General Practice)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053864835, enumerated as an "individual" on July 28, 2016.

The provider is located at 12647 OLIVE BLVD SUITE 600 SAINT LOUIS, MO 63141 and the phone number is (800) 325-3982.

Radiologic Technologist with taxonomy code 247100000X.