BRUCE D. CARLSON M.D.
NPI 1508921016
Clinic/Center - Health Service in Hermiston, OR
NPI Status: Active since December 26, 2006
Contact Information
236 E NEWPORT AVE
HERMISTON, OR
ZIP 97838
Phone: (541) 567-1137
Fax: (541) 567-2336
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
About BRUCE D. CARLSON M.D.
This page provides the complete NPI Profile along with additional information for Bruce D. Carlson M.d., a provider established in Hermiston, Oregon operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1508921016 assigned on December 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Hermiston Family Medicine And Urgent Care. The authorized official of this NPI record is Tami J Foster (Office Manager)
- NPI
- 1508921016
- Provider Legal Name
- BRUCE D. CARLSON M.D.
- Other Organization Name
- HERMISTON FAMILY MEDICINE AND URGENT CARE
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 236 E NEWPORT AVE HERMISTON, OR 97838
- Location Phone
- (541) 567-1137
- Location Fax
- (541) 567-2336
- Mailing Address
- 236 E NEWPORT AVE HERMISTON, OR 97838
- Mailing Phone
- (541) 567-1137
- Mailing Fax
- (541) 567-2336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2006
- Last Update Date
- 04-19-2022
- 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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080385000 | OTHER (01) | OR | BLUE CROSS BLUE SHIELD |
| OR1807 | OTHER (01) | OR | HEALTH NET OF OREGON |
| 223149 | MEDICAID (05) | OR |
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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 1508921016, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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.
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508921016, enumerated as an "organization" on December 26, 2006.
The provider is located at 236 E NEWPORT AVE HERMISTON, OR 97838 and the phone number is (541) 567-1137.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
The provider might be accepting Accepts: Providence Health Plan, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
