BMH-TIPTON AT BBCF KATE BOND
NPI 1558647628
Clinic/Center - Oncology, Radiation in Bartlett, TN

NPI Status: Active since November 02, 2011

Contact Information

2996 KATE BOND RD STE 100
BARTLETT, TN
ZIP 38133
Phone: (901) 383-5570

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  • Organization
  • Clinic/Center
  • Oncology, Radiation
  • CLIA Number: 44D2274460
  • CLIA Cert. Type: Other - HOSP DEPT CLINIC
  • CLIA Exp. Date: 10-18-2027

About BMH-TIPTON AT BBCF KATE BOND

This page provides the complete NPI Profile along with additional information for Bmh-tipton At Bbcf Kate Bond, a provider established in Bartlett, Tennessee operating as a Clinic/center, focusing in oncology, radiation . The healthcare provider is registered in the NPI registry with number 1558647628 assigned on November 2011. The practitioner's primary taxonomy code is 261QX0203X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Bmh-tipton At Bbcf Kate Bond. The authorized official of this NPI record is Gregory M Duckett (Sr Vp/ Clo)

NPI
1558647628
Provider Legal Name
BAPTIST MEMORIAL HOSPITAL-TIPTON
Other Organization Name
BMH-TIPTON AT BBCF KATE BOND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2996 KATE BOND RD STE 100 BARTLETT, TN 38133
Location Phone
(901) 383-5570
Mailing Address
350 N HUMPHREYS BLVD MEMPHIS, TN 38120
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-02-2011
Last Update Date
09-30-2020
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Location Map

Secondary Locations

  • 80 Humphreys Center Dr Ste 330
    Memphis, TN 38120
    (901) 226-0364
  • 6215 Humphreys Blvd Ste 306
    Memphis, TN 38120
    (901) 226-0364
  • 2996 Kate Bond Rd Ste 207
    Bartlett, TN 38133
    (901) 379-0532
  • 1500 W Poplar Ave Ste 308
    Collierville, TN 38017
    (901) 861-8555
  • 1700 Woodlawn Ave
    Dyersburg, TN 38024
    (731) 259-6289
  • 6029 Walnut Grove Rd Ste 301
    Memphis, TN 38120
    (901) 747-9081
  • 6029 Walnut Grove Rd Ste 305
    Memphis, TN 38120
    (901) 226-0533
  • 1109 E Reelfoot Ave Ste F
    Union City, TN 38261
    (731) 884-1720
  • 6027 Walnut Grove Rd Ste 206
    Memphis, TN 38120
    (901) 226-3746

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 Oncology, Radiation

Taxonomy Code
261QX0203X
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)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

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

GREGORY M DUCKETT

Authorized Official Title
SR VP/ CLO
Authorized Official Phone
(901) 227-5233

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
44D2274460
Facility Type
Other - HOSP DEPT CLINIC
Certificate Effective Date
October 19, 2025
Certificate Expiration Date
October 18, 2027
Laboratory Director
DONALD GRAVENOR
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Bmh-tipton At Bbcf Kate Bond on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1558647628, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 2 + 4 + 1 + 4 + 6 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1558647628.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
2996 KATE BOND RD STE 100
BARTLETT, TN 38133
Nurse Practitioner (Family)
2996 KATE BOND RD STE 100
BARTLETT, TN 38133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558647628, enumerated as an "organization" on November 02, 2011.

The provider is located at 2996 KATE BOND RD STE 100 BARTLETT, TN 38133 and the phone number is (901) 383-5570.

Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.