SAN ANGELO EMERGENCY PHYSICIANS
NPI 1134177975
Emergency Medicine in San Angelo, TX

NPI Status: Active since May 04, 2006

Contact Information

120 E HARRIS AVE
SAN ANGELO, TX
ZIP 76903
Phone: (325) 657-5028

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  • Organization
  • Emergency Medicine
  • CLIA Number: 45D1029251
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 08-11-2026

About SAN ANGELO EMERGENCY PHYSICIANS

This page provides the complete NPI Profile along with additional information for San Angelo Emergency Physicians, a provider established in San Angelo, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1134177975 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. San Angelo Emergency Physicians operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Charles Benham M.d. (Principal Officer)

NPI
1134177975
Provider Name
SAN ANGELO EMERGENCY PHYSICIANS
Entity Type
Organization
Location Address
120 E HARRIS AVE SAN ANGELO, TX 76903
Location Phone
(325) 657-5028
Mailing Address
2909 SHERWOOD WAY SUITE 300 SAN ANGELO, TX 76901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2006
Last Update Date
08-22-2020
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

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

CHARLES BENHAM M.D.

Authorized Official Title
PRINCIPAL OFFICER
Authorized Official Phone
(325) 657-5028

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
45D1029251
Facility Type
Ambulance
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
PATRICK S. BRODY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Angelo Emergency Physicians 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 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 1134177975, 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
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 3 → 6 1 → 2 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 2 + 7 + 1 + 4 + 9 + 1 + 4 + 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 1134177975.

Other Providers at the Same Location


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

Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine (Emergency Medical Services)
120 E HARRIS AVE, EMERGENCY ROOM
SAN ANGELO, TX 76903
Pharmacist
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Long Term Care Hospital
120 E HARRIS AVE, 6TH FLOOR
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Rehabilitation Unit
120 E HARRIS AVE
SAN ANGELO, TX 76903
Clinic/Center (Ambulatory Surgical)
120 E HARRIS AVE
SAN ANGELO, TX 76903
Psychiatric Hospital
120 E HARRIS AVE
SAN ANGELO, TX 76903
Chronic Disease Hospital (Children)
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Emergency Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903
Internal Medicine
120 E HARRIS AVE
SAN ANGELO, TX 76903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134177975, enumerated as an "organization" on May 04, 2006.

The provider is located at 120 E HARRIS AVE SAN ANGELO, TX 76903 and the phone number is (325) 657-5028.

Emergency Medicine with taxonomy code 207P00000X.