SIMO AND BRUCK PEDIATRICS,LLC
NPI 1093931651
Pediatrics - Adolescent Medicine in Wellington, FL
NPI Status: Active since April 18, 2007
Contact Information
10111 W FOREST HILL BLVD RM 150
WELLINGTON, FL
ZIP 33414
Phone: (561) 791-1935
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 10D0938372
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-05-2026
About SIMO AND BRUCK PEDIATRICS,LLC
This page provides the complete NPI Profile along with additional information for Simo And Bruck Pediatrics,llc, a pediatrician established in Wellington, Florida operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1093931651 assigned on April 2007. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Miguel Simo (President)
- NPI
- 1093931651
- Provider Name
- SIMO AND BRUCK PEDIATRICS,LLC
- Entity Type
- Organization
- Location Address
- 10111 W FOREST HILL BLVD RM 150 WELLINGTON, FL 33414
- Location Phone
- (561) 791-1935
- Mailing Address
- 10111 W FOREST HILL BLVD RM 150 WELLINGTON, FL 33414
- Mailing Phone
- (561) 791-1935
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Simo And Bruck Pediatrics,llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.
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
- 10D0938372
- Facility Type
- Physician Office
- Certificate Effective Date
- January 06, 2024
- Certificate Expiration Date
- January 05, 2026
- Laboratory Director
- S MIGUEL SIMO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Simo And Bruck Pediatrics,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 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 | 9 | 3 | 9 | 3 | 1 | 6 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 18 | 3 | 2 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 1 + 8 + 3 + 2 + 6 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1093931651 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093931651, enumerated as an "organization" on April 18, 2007.
The provider is located at 10111 W FOREST HILL BLVD RM 150 WELLINGTON, FL 33414 and the phone number is (561) 791-1935.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
