ST. LUKE'S BRODHEADSVILLE FAMILY PRACTICE
NPI 1275636185
Family Medicine in Brodheadsville, PA

NPI Status: Active since September 06, 2006

Contact Information

111 ROUTE 715 STE 101
BRODHEADSVILLE, PA
ZIP 18322
Phone: (272) 212-0435
Fax: (272) 212-0437

Get Directions Write a Review

  • Organization
  • Family Medicine
  • CLIA Number: 39D0996615
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-21-2026

About ST. LUKE'S BRODHEADSVILLE FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for St. Luke's Brodheadsville Family Practice, a primary care provider established in Brodheadsville, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1275636185 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 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 provider's is doing business as St. Luke's Brodheadsville Family Practice. The authorized official of this NPI record is Dean W Evans (President)

NPI
1275636185
Provider Legal Name
ST. LUKE'S PHYSICIAN GROUP, INC.
Other Organization Name
ST. LUKE'S BRODHEADSVILLE FAMILY PRACTICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
111 ROUTE 715 STE 101 BRODHEADSVILLE, PA 18322
Location Phone
(272) 212-0435
Location Fax
(272) 212-0437
Mailing Address
801 OSTRUM ST BETHLEHEM, PA 18015
Mailing Phone
(484) 526-6048
Mailing Fax
(272) 212-0437
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2006
Last Update Date
01-17-2018
Code Navigator

A primary care provider (PCP) like St. Luke's Brodheadsville Family Practice 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

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
PA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

DEAN W EVANS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(484) 526-4911

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
39D0996615
Facility Type
Physician Office
Certificate Effective Date
February 22, 2024
Certificate Expiration Date
February 21, 2026
Laboratory Director
DR. WILLIAM M. MARKSON MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Luke's Brodheadsville Family Practice 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.

Reviews for ST. LUKE'S BRODHEADSVILLE FAMILY PRACTICE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1275636185, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 7 → 14 → 5 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 2 + 3 + 1 + 2 + 1 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1275636185.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275636185, enumerated as an "organization" on September 06, 2006.

The provider is located at 111 ROUTE 715 STE 101 BRODHEADSVILLE, PA 18322 and the phone number is (272) 212-0435.

Family Medicine with taxonomy code 207Q00000X.