BEAUMONT NEUROSURGICAL SPINE ASSOCIATES PA
NPI 1346417342
Neurological Surgery in Beaumont, TX

NPI Status: Active since May 09, 2008

Contact Information

6025 METROPOLITAN DR
SUITE 205
BEAUMONT, TX
ZIP 77706
Phone: (409) 899-4999
Fax: (409) 899-3978

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  • Organization
  • Neurological Surgery
  • CLIA Number: 45D2266400
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-09-2026

About BEAUMONT NEUROSURGICAL SPINE ASSOCIATES PA

This page provides the complete NPI Profile along with additional information for Beaumont Neurosurgical Spine Associates Pa, a provider established in Beaumont, Texas operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1346417342 assigned on May 2008. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 11 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 authorized official of this NPI record is Dr. Charles B. Clark Iii M.d. (Physician)

NPI
1346417342
Provider Name
BEAUMONT NEUROSURGICAL SPINE ASSOCIATES PA
Entity Type
Organization
Location Address
6025 METROPOLITAN DR SUITE 205 BEAUMONT, TX 77706
Location Phone
(409) 899-4999
Location Fax
(409) 899-3978
Mailing Address
6025 METROPOLITAN DR SUITE 205 BEAUMONT, TX 77706
Mailing Phone
(409) 899-4999
Mailing Fax
(409) 899-3978
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2008
Last Update Date
03-05-2015
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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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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

DR. CHARLES B. CLARK III M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(409) 899-4999

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
45D2266400
Facility Type
Physician Office
Certificate Effective Date
August 10, 2024
Certificate Expiration Date
August 09, 2026
Laboratory Director
JASON O. MENSAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beaumont Neurosurgical Spine Associates Pa 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 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 1346417342, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
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 4 → 8 4 → 8 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 8 + 1 + 1 + 4 + 3 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1346417342.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Neurological Surgery
6025 METROPOLITAN DR, SUITE 200
BEAUMONT, TX 77706
Specialist
6025 METROPOLITAN DR, SUITE 205
BEAUMONT, TX 77706
Nurse Practitioner (Acute Care)
6025 METROPOLITAN DR, SUITE 210
BEAUMONT, TX 77706
Neurological Surgery
6025 METROPOLITAN DR, SUITE 205
BEAUMONT, TX 77706
Surgery
6025 METROPOLITAN DR, 205A
BEAUMONT, TX 77706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346417342, enumerated as an "organization" on May 09, 2008.

The provider is located at 6025 METROPOLITAN DR SUITE 205 BEAUMONT, TX 77706 and the phone number is (409) 899-4999.

Neurological Surgery with taxonomy code 207T00000X.