BAMBERG JOB CORP.
NPI 1386997591
Nurse Practitioner - Family in Bamberg, SC

NPI Status: Active since October 25, 2012

Contact Information

19 JOB CORPS AVE
BAMBERG, SC
ZIP 29003
Phone: (803) 245-5101

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 42D0975487
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 09-28-2026

About BAMBERG JOB CORP.

This page provides the complete NPI Profile along with additional information for Bamberg Job Corp., a provider established in Bamberg, South Carolina operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1386997591 assigned on October 2012. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Bamberg Job Corp. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Leon A Brunson Sr. (Ceo)

NPI
1386997591
Provider Name
BAMBERG JOB CORP.
Entity Type
Organization
Location Address
19 JOB CORPS AVE BAMBERG, SC 29003
Location Phone
(803) 245-5101
Mailing Address
3310 MAGNOLIA ST ORANGEBURG, SC 29115
Mailing Phone
(803) 531-6900
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-25-2012
Last Update Date
10-25-2012
Code Navigator

A nurse practitioner (NP) like Bamberg Job Corp. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MR. LEON A BRUNSON SR.

Authorized Official Title
CEO
Authorized Official Phone
(803) 531-6900

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
42D0975487
Facility Type
School/Student Health Service
Certificate Effective Date
September 29, 2024
Certificate Expiration Date
September 28, 2026
Laboratory Director
JOANN STROMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bamberg Job Corp. 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 1386997591, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 8 → 16 → 7 9 → 18 → 9 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 8 + 9 + 1 + 4 + 5 + 1 + 8 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1386997591.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386997591, enumerated as an "organization" on October 25, 2012.

The provider is located at 19 JOB CORPS AVE BAMBERG, SC 29003 and the phone number is (803) 245-5101.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.