POLYCLINIC ASSOCIATES PC
NPI 1174665988
Specialist in Southfield, MI

NPI Status: Active since February 12, 2007

Contact Information

26400 W 12 MILE RD
STE 38
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 663-9846
Fax: (248) 663-9854

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  • Organization
  • Specialist

About POLYCLINIC ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Polyclinic Associates Pc, a provider established in Southfield, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1174665988 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated one year ago. Polyclinic Associates Pc 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 Tom Brusseau (Mgr)

NPI
1174665988
Provider Name
POLYCLINIC ASSOCIATES PC
Entity Type
Organization
Location Address
26400 W 12 MILE RD STE 38 SOUTHFIELD, MI 48034
Location Phone
(248) 663-9846
Location Fax
(248) 663-9854
Mailing Address
26400 W 12 MILE RD STE 38 SOUTHFIELD, MI 48034
Mailing Phone
(248) 663-9846
Mailing Fax
(248) 663-9854
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2007
Last Update Date
09-11-2025
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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

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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)
1213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

50011601 (MI)

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

TOM BRUSSEAU

Authorized Official Title
MGR
Authorized Official Phone
(248) 663-9846

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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 1174665988, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 2 + 6 + 1 + 0 + 9 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1174665988.

Other Providers at the Same Location


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

Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Dermatology
26400 W 12 MILE RD, STE 150
SOUTHFIELD, MI 48034
Dermatology
26400 W 12 MILE RD, SUITE 150
SOUTHFIELD, MI 48034
Family Medicine
26400 W 12 MILE RD, SUITE 150
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 110
SOUTHFIELD, MI 48034
Dentist
26400 W 12 MILE RD, SUITE#160
SOUTHFIELD, MI 48034
Urology
26400 W 12 MILE RD, SUITE 70
SOUTHFIELD, MI 48034
Preventive Medicine (Occupational Medicine)
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Internal Medicine (Gastroenterology)
26400 W 12 MILE RD, STE 111
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
26400 W 12 MILE RD, STE 140
SOUTHFIELD, MI 48034
Obstetrics & Gynecology (Gynecology)
26400 W 12 MILE RD, SUITE 140
SOUTHFIELD, MI 48034
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
26400 W 12 MILE RD, SUITE 112
SOUTHFIELD, MI 48034
Ophthalmology
26400 W 12 MILE RD, STE 60
SOUTHFIELD, MI 48034
Family Medicine
26400 W 12 MILE RD, STE 111
SOUTHFIELD, MI 48034
Hearing Aid Equipment
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034
Eyewear Supplier
26400 W 12 MILE RD, SUITE 60
SOUTHFIELD, MI 48034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174665988, enumerated as an "organization" on February 12, 2007.

The provider is located at 26400 W 12 MILE RD STE 38 SOUTHFIELD, MI 48034 and the phone number is (248) 663-9846.

Specialist with taxonomy code 174400000X.