INTEGRATIVE SPORTS AND WELLNESS MEDICAL CENTER
NPI 1396060711
Emergency Medicine - Sports Medicine in Austin, TX

NPI Status: Active since March 29, 2010

Contact Information

11420 FM 2244
SUITE A-100
AUSTIN, TX
ZIP 78738
Phone: (512) 263-9961
Fax: (512) 263-9963

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  • Organization
  • Emergency Medicine
  • Sports Medicine

About INTEGRATIVE SPORTS AND WELLNESS MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Integrative Sports And Wellness Medical Center, a provider established in Austin, Texas operating as a Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1396060711 assigned on March 2010. The practitioner's primary taxonomy code is 207PS0010X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Integrative Sports And Wellness Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Integrative Sports And Wellness Medical Center. The authorized official of this NPI record is Dr. Bryan Jepson M.d. (President)

NPI
1396060711
Provider Legal Name
JEPSON MEDICAL AFFILIATES PA
Other Organization Name
INTEGRATIVE SPORTS AND WELLNESS MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11420 FM 2244 SUITE A-100 AUSTIN, TX 78738
Location Phone
(512) 263-9961
Location Fax
(512) 263-9963
Mailing Address
11420 FM 2244 SUITE A-100 AUSTIN, TX 78738
Mailing Phone
(512) 263-9961
Mailing Fax
(512) 263-9963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2010
Last Update Date
03-30-2010
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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

Emergency Medicine Sports Medicine

Taxonomy Code
207PS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111NS0005XChiropractic Providers

Chiropractor
Sports Physician

 
22081S0010XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Sports Medicine

 

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

DR. BRYAN JEPSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(512) 263-9961

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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 1396060711, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
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 9 → 18 → 9 0 → 0 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 0 + 6 + 0 + 7 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1396060711.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396060711, enumerated as an "organization" on March 29, 2010.

The provider is located at 11420 FM 2244 SUITE A-100 AUSTIN, TX 78738 and the phone number is (512) 263-9961.

Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.