BLUEFIN MEDICAL, LLC
NPI 1376253138
Family Medicine - Addiction Medicine in Shreveport, LA

NPI Status: Active since December 01, 2022

Contact Information

850 MARGARET PL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 208-2000
Fax: (318) 227-7627

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  • Organization
  • Family Medicine
  • Addiction Medicine

About BLUEFIN MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Bluefin Medical, Llc, a provider established in Shreveport, Louisiana operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1376253138 assigned on December 2022. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 4 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. Randall Ivan Davis Md (Ceo)

NPI
1376253138
Provider Name
BLUEFIN MEDICAL, LLC
Entity Type
Organization
Location Address
850 MARGARET PL SHREVEPORT, LA 71101
Location Phone
(318) 208-2000
Location Fax
(318) 227-7627
Mailing Address
850 MARGARET PL SHREVEPORT, LA 71101
Mailing Phone
(318) 208-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-01-2022
Last Update Date
12-01-2022
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. RANDALL IVAN DAVIS MD

Authorized Official Title
CEO
Authorized Official Phone
(318) 773-5880

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1486647MEDICAID (05)LA 

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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 1376253138, 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
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
3
Doubled → 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 2 → 4 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 4 + 5 + 6 + 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 1376253138.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Family Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Clinic/Center (Rehabilitation, Substance Use Disorder)
850 MARGARET PL
SHREVEPORT, LA 71101
Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376253138, enumerated as an "organization" on December 01, 2022.

The provider is located at 850 MARGARET PL SHREVEPORT, LA 71101 and the phone number is (318) 208-2000.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.