INTEGRATED MEDICAL GROUP, LLC NPI 1306469978

Clinic/Center - Multi-Specialty in Bessemer, AL

Organization Clinic/Center Multi-Specialty

About INTEGRATED MEDICAL GROUP, LLC

Integrated Medical Group, Llc is a provider established in Bessemer, Alabama specializing in Clinic/center with a focus in multi-specialty . The NPI number of Integrated Medical Group, Llc is 1306469978 and was assigned on May 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Lowell Bragg Dc (Owner)

NPI

1306469978

Provider NameINTEGRATED MEDICAL GROUP, LLC
Provider Location Address975 9TH AVE SW STE 200 BESSEMER, AL 35022
Provider Mailing Address975 9TH AVE SW STE 200 BESSEMER, AL 35022
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-18-2020
Last Update Date05-18-2020


Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty

Business Address

INTEGRATED MEDICAL GROUP, LLC
975 9TH AVE SW STE 200
BESSEMER, AL
ZIP 35022
Phone: (205) 519-4201

Get Directions


Mailing Address

INTEGRATED MEDICAL GROUP, LLC
975 9TH AVE SW STE 200
BESSEMER, AL
ZIP 35022
Phone:


Authorized Official

Authorized Official Name LOWELL BRAGG DC
Authorized Official TitleOWNER
Authorized Official Phone(205) 519-4201

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
512-26348OTHER (01)BLUE CROSS /BLUE SHIELD OF ALABAMA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306469978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23068618914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 8 + 6 + 1 + 8 + 9 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1306469978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942383948 LONNIE TERRELL PARSONS P.A.
Individual
Physician Assistant (Surgical)975 9TH AVE SW STE 200
BESSEMER, AL 35022
(205) 481-7485

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Integrated Medical Group, Llc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.