JAMES R BEVERSDORF LAT, CSCS, PES
NPI 1073508743
Specialist/Technologist - Athletic Trainer in Green Bay, WI

NPI Status: Active since September 19, 2005

Contact Information

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 430-4750

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

Individual
Male
Specialist/Technologist
Athletic Trainer

About JAMES BEVERSDORF

This page provides the complete NPI Profile along with additional information for James Beversdorf, a provider established in Green Bay, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1073508743 assigned on September 2005. The practitioner's primary taxonomy code is 2255A2300X with license number 24-039 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1073508743
Provider Name: JAMES R BEVERSDORF LAT, CSCS, PES
Gender: Male
Entity Type: Individual
Location Address: 215 N WEBSTER AVE GREEN BAY, WI 54301
Location Phone: (920) 430-4750
Mailing Address: 1330 PACKERLAND DR APT. B-3 GREEN BAY, WI 54304
Mailing Phone: (920) 405-0872
Is Sole Proprietor?: No
Enumeration Date: 09-19-2005
Last Update Date: 07-08-2007
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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: Specialist/Technologist Athletic Trainer
Taxonomy Code: 2255A2300X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 24-039
License State: WI
Taxonomy Description: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	7	3	5	0	8	7	4	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	14	3	10	0	16	7	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 0 + 0 + 1 + 6 + 7 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1073508743 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

ROLAND JOSEPH SCHMIDT LAT/ATC

Specialist/Technologist

(Athletic Trainer)