TARLETON STATE UNIVERSITY
NPI 1215727722
Family Medicine - Sports Medicine in Stephenville, TX

NPI Status: Active since May 08, 2025

Contact Information

600 N. ROME
STEPHENVILLE, TX
ZIP 76401
Phone: (254) 968-9936
Fax: (254) 968-9723

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  • Organization
  • Family Medicine
  • Sports Medicine
  • CLIA Number: 45D0903180
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 07-12-2027

About TARLETON STATE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Tarleton State University, a primary care provider established in Stephenville, Texas operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1215727722 assigned on May 2025. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Kayla Buzbee (Office Manager)

NPI
1215727722
Provider Legal Name
TARLETON STATE UNIVERSITY
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
600 N. ROME STEPHENVILLE, TX 76401
Location Phone
(254) 968-9936
Location Fax
(254) 968-9723
Mailing Address
BOX T-0360 STEPHENVILLE, TX 76401
Mailing Phone
(254) 968-9936
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-08-2025
Last Update Date
05-20-2025
Code Navigator

A primary care provider (PCP) like Tarleton State University 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.

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)
1207RS0010XAllopathic & Osteopathic Physicians

Internal Medicine
Sports Medicine

 
2261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
3261QS1000XAmbulatory Health Care Facilities

Clinic/Center
Student Health

 

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

KAYLA BUZBEE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(254) 968-9936

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
45D0903180
Facility Type
School/Student Health Service
Certificate Effective Date
July 13, 2025
Certificate Expiration Date
July 12, 2027
Laboratory Director
BRIDGETTE A. BEDNARZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Tarleton State University in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1215727722, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 4 + 2 + 1 + 4 + 7 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1215727722.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215727722, enumerated as an "organization" on May 08, 2025.

The provider is located at 600 N. ROME STEPHENVILLE, TX 76401 and the phone number is (254) 968-9936.

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