BRADFORD REGIONAL MEDICAL CENTER
NPI 1063784726
Psychiatry & Neurology - Psychiatry in Bradford, PA
NPI Status: Active since January 27, 2012
Contact Information
116 INTERSTATE PKWY
BRADFORD, PA
ZIP 16701
Phone: (814) 368-4143
- Organization
- Psychiatry & Neurology
- Psychiatry
- CLIA Number: 39D0691618
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2027
About BRADFORD REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Bradford Regional Medical Center, a provider established in Bradford, Pennsylvania operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1063784726 assigned on January 2012. The practitioner's primary taxonomy code is 2084P0800X with license number 541201 (PA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Bradford Regional Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Bradford Regional Medical Center. The authorized official of this NPI record is Jill M. Owens Md (Ceo)
- NPI
- 1063784726
- Provider Legal Name
- OLEAN GENERAL HOSPITAL
- Other Organization Name
- BRADFORD REGIONAL MEDICAL CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 116 INTERSTATE PKWY BRADFORD, PA 16701
- Location Phone
- (814) 368-4143
- Mailing Address
- 116 INTERSTATE PKWY BRADFORD, PA 16701
- Mailing Phone
- (814) 368-4143
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2012
- Last Update Date
- 10-10-2023
- Code Navigator
A psychiatrist like Bradford Regional Medical Center are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 541201
- License State
- PA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | 541201 (PA) |
| 2 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 541201 (PA) |
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.
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
- 39D0691618
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2025
- Certificate Expiration Date
- November 30, 2027
- Laboratory Director
- DR. RICHARD SCOTT
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bradford Regional Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1063784726, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRADFORD, PA 16701
BRADFORD, PA 16701
BRADFORD, PA 16701
BRADFORD, PA 16701
BRADFORD, PA 16701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063784726, enumerated as an "organization" on January 27, 2012.
The provider is located at 116 INTERSTATE PKWY BRADFORD, PA 16701 and the phone number is (814) 368-4143.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
