INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
NPI 1568108249
Physical Medicine & Rehabilitation - Pain Medicine in College Station, TX

NPI Status: Active since May 06, 2022

Contact Information

3106 TEXAS AVE S
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 985-5489
Fax: (979) 985-5489

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • CLIA Number: 45D2268567
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-13-2026

About INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC

This page provides the complete NPI Profile along with additional information for Interventional Spine And Pain Associates Brazos Valley Pllc, a provider established in College Station, Texas operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1568108249 assigned on May 2022. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Interventional Spine And Pain Associates Brazos Valley Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ryan Whitmer Do (President)

NPI
1568108249
Provider Name
INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
Entity Type
Organization
Location Address
3106 TEXAS AVE S COLLEGE STATION, TX 77845
Location Phone
(979) 985-5489
Location Fax
(979) 985-5489
Mailing Address
3106 TEXAS AVE S COLLEGE STATION, TX 77845
Mailing Phone
(979) 985-5489
Mailing Fax
(979) 985-5489
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2022
Last Update Date
08-17-2022
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

RYAN WHITMER DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(903) 987-4909

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
45D2268567
Facility Type
Physician Office
Certificate Effective Date
September 14, 2024
Certificate Expiration Date
September 13, 2026
Laboratory Director
RYAN L. WHITMER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Interventional Spine And Pain Associates Brazos Valley Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1568108249, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 6 → 12 → 3 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 2 + 0 + 1 + 6 + 2 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568108249.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Medicine & Rehabilitation
3106 TEXAS AVE S
COLLEGE STATION, TX 77845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568108249, enumerated as an "organization" on May 06, 2022.

The provider is located at 3106 TEXAS AVE S COLLEGE STATION, TX 77845 and the phone number is (979) 985-5489.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.