BULLHEAD FAMILY MEDICAL LLC
NPI 1477931798
Nurse Practitioner - Family in Bullhead City, AZ
NPI Status: Active since May 07, 2015
Contact Information
2840 HWAY 95 STE 420
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 754-1100
Fax: (928) 277-8002
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 03D2026460
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-29-2027
About BULLHEAD FAMILY MEDICAL LLC
This page provides the complete NPI Profile along with additional information for Bullhead Family Medical Llc, a provider established in Bullhead City, Arizona operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1477931798 assigned on May 2015. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 11 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 Patrick Beck D.c. (Owner/manager)
- NPI
- 1477931798
- Provider Name
- BULLHEAD FAMILY MEDICAL LLC
- Entity Type
- Organization
- Location Address
- 2840 HWAY 95 STE 420 BULLHEAD CITY, AZ 86442
- Location Phone
- (928) 754-1100
- Location Fax
- (928) 277-8002
- Mailing Address
- 2840 HWAY 95 STE 420 BULLHEAD CITY, AZ 86442
- Mailing Phone
- (928) 754-1100
- Mailing Fax
- (928) 277-8002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2015
- Last Update Date
- 05-07-2015
- Code Navigator
A nurse practitioner (NP) like Bullhead Family Medical Llc 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.
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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.
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
- 03D2026460
- Facility Type
- Physician Office
- Certificate Effective Date
- June 30, 2025
- Certificate Expiration Date
- June 29, 2027
- Laboratory Director
- JEROLD R. MORGAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Bullhead Family Medical Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1477931798, 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 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.
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 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477931798, enumerated as an "organization" on May 07, 2015.
The provider is located at 2840 HWAY 95 STE 420 BULLHEAD CITY, AZ 86442 and the phone number is (928) 754-1100.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
