RYAN CLARKE GOTTFREDSON D.O.
NPI 1447562616
Preventive Medicine - Public Health & General Preventive Medicine in Jbsa Lackland, TX

NPI Status: Active since July 05, 2010

Contact Information

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236
Phone: (210) 292-6225

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  • Individual
  • Male
  • Preventive Medicine
  • Public Health & General Preventive Medic...
  • Accepts Insurance

About RYAN GOTTFREDSON

This page provides the complete NPI Profile along with additional information for Ryan Gottfredson, a provider established in Jbsa Lackland, Texas with a medical specialization in Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1447562616 assigned on July 2010. The practitioner's primary taxonomy code is 2083P0901X with license number 0102203077 (VA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1447562616
Provider Name
RYAN CLARKE GOTTFREDSON D.O.
Gender
Male
Entity Type
Individual
Location Address
1100 WILFORD HALL LOOP BLDG 4554 JBSA LACKLAND, TX 78236
Location Phone
(210) 292-6225
Mailing Address
1100 WILFORD HALL LOOP BLDG 4554 JBSA LACKLAND, TX 78236
Mailing Phone
(210) 292-6225
Is Sole Proprietor?
No
Enumeration Date
07-05-2010
Last Update Date
07-27-2018
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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

Preventive Medicine Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
License No.
0102203077
License State
VA
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

0102203077 (VA)

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

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

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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 1447562616, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 5 → 10 → 1 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 1 + 0 + 6 + 4 + 6 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1447562616.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology (Glaucoma Specialist)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Family Medicine
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Psychologist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Physical Therapist (Orthopedic)
1100 WILFORD HALL LOOP BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Psychologist (Clinical)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Social Worker (Clinical)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Dentist (Oral and Maxillofacial Surgery)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pediatrics
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Preventive Medicine (Aerospace Medicine)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Family Medicine
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Nurse Practitioner (Psychiatric/Mental Health)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Family Medicine
1100 WILFORD HALL LOOP BLDG 4554
SAN ANTONIO, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Nurse Practitioner (Women's Health)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447562616, enumerated as an "individual" on July 05, 2010.

The provider is located at 1100 WILFORD HALL LOOP BLDG 4554 JBSA LACKLAND, TX 78236 and the phone number is (210) 292-6225.

Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.