COMPETITIVE EDGE SPORTS MEDICINE
NPI 1104000561
Family Medicine - Sports Medicine in Breese, IL

NPI Status: Active since December 20, 2007

Contact Information

14160 JAMESTOWN RD
BREESE, IL
ZIP 62230
Phone: (618) 526-2603
Fax: (618) 526-1435

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  • Organization
  • Family Medicine
  • Sports Medicine

About COMPETITIVE EDGE SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Competitive Edge Sports Medicine, a primary care provider established in Breese, Illinois operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1104000561 assigned on December 2007. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. David L Neighbors Md (President)

NPI
1104000561
Provider Name
COMPETITIVE EDGE SPORTS MEDICINE
Entity Type
Organization
Location Address
14160 JAMESTOWN RD BREESE, IL 62230
Location Phone
(618) 526-2603
Location Fax
(618) 526-1435
Mailing Address
9431 HOLY CROSS LN BREESE, IL 62230
Mailing Phone
(618) 526-2603
Mailing Fax
(618) 526-1435
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2007
Last Update Date
12-20-2007
Code Navigator

A primary care provider (PCP) like Competitive Edge Sports Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID L NEIGHBORS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(618) 526-2603

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
0001400053OTHER (01)ILBCBS

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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 1104000561, we treat the final digit (1) 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 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 1).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 0 → 0 0 → 0 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 0 + 0 + 5 + 1 + 2 + 24 = 39

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

The next multiple of ten after 39 is 40. The difference is the calculated check digit.

40 - 39 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104000561.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
14160 JAMESTOWN RD
BREESE, IL 62230
Podiatrist (Foot & Ankle Surgery)
14160 JAMESTOWN RD
BREESE, IL 62230
Nurse Practitioner
14160 JAMESTOWN RD
BREESE, IL 62230
Durable Medical Equipment & Medical Supplies
14160 JAMESTOWN RD
BREESE, IL 62230
Physical Therapist
14160 JAMESTOWN RD
BREESE, IL 62230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104000561, enumerated as an "organization" on December 20, 2007.

The provider is located at 14160 JAMESTOWN RD BREESE, IL 62230 and the phone number is (618) 526-2603.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.