TYLER BRODERICK MS, LPC
NPI 1396080917
Counselor - Professional in Buffalo, WY
NPI Status: Active since December 07, 2012
Contact Information
521 W LOTT ST
BUFFALO, WY
ZIP 82834
Phone: (307) 684-5531
Fax: (307) 684-2912
- Individual
- Male
- Counselor
- Professional
- PECOS Enrolled
About TYLER BRODERICK
This page provides the complete NPI Profile along with additional information for Tyler Broderick, a provider established in Buffalo, Wyoming with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1396080917 assigned on December 2012. The practitioner's primary taxonomy code is 101YP2500X with license number LPC-1434 (WY). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1396080917
- Provider Name
- TYLER BRODERICK MS, LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 521 W LOTT ST BUFFALO, WY 82834
- Location Phone
- (307) 684-5531
- Location Fax
- (307) 684-2912
- Mailing Address
- 909 LONG DR STE C SHERIDAN, WY 82801
- Mailing Phone
- (307) 672-8958
- Mailing Fax
- (307) 684-2912
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-07-2012
- Last Update Date
- 07-09-2019
- Code Navigator
Location Map
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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC-1434
- License State
- WY
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | PPC721 (WY) |
Medicare Participation & PECOS Enrollment Status
Tyler Broderick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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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 1396080917, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
BUFFALO, WY 82834
BUFFALO, WY 82834
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396080917, enumerated as an "individual" on December 07, 2012.
The provider is located at 521 W LOTT ST BUFFALO, WY 82834 and the phone number is (307) 684-5531.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
