SANFORD BROADWAY MEDICAL BUILDING
NPI 1609156900
Internal Medicine - Infectious Disease in Fargo, ND

NPI Status: Active since August 18, 2011

Contact Information

736 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2000

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  • Organization
  • Internal Medicine
  • Infectious Disease
  • CLIA Number: 35D0655616
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 02-08-2027

About SANFORD BROADWAY MEDICAL BUILDING

This page provides the complete NPI Profile along with additional information for Sanford Broadway Medical Building, an internist established in Fargo, North Dakota operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1609156900 assigned on August 2011. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sanford Broadway Medical Building operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Sanford Broadway Medical Building. The authorized official of this NPI record is Martha Leclerc (Vice President)

NPI
1609156900
Provider Legal Name
SANFORD MEDICAL CENTER FARGO
Other Organization Name
SANFORD BROADWAY MEDICAL BUILDING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
736 BROADWAY N FARGO, ND 58102
Location Phone
(701) 234-2000
Mailing Address
736 BROADWAY N FARGO, ND 58102
Mailing Phone
(701) 234-2000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2011
Last Update Date
11-27-2023
Code Navigator

An internist like Sanford Broadway Medical Building is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

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)
1111N00000XChiropractic Providers

Chiropractor

 
2133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 

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

MARTHA LECLERC

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(701) 234-6248

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
35D0655616
Facility Type
Independent
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. JODY R. THOMPSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sanford Broadway Medical Building 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 1609156900, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 2 + 5 + 1 + 2 + 9 + 0 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1609156900.

Other Providers at the Same Location


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

Physical Therapist
736 BROADWAY N, RT #1031 SANFORD HEALTH BROADWAY MEDICAL PT DEPT
FARGO, ND 58102
Physical Therapist (Orthopedic)
736 BROADWAY N
FARGO, ND 58102
Physical Therapist (Orthopedic)
736 BROADWAY N
FARGO, ND 58102
Physical Therapist (Orthopedic)
736 BROADWAY N
FARGO, ND 58102
Physical Therapist (Orthopedic)
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Internal Medicine (Infectious Disease)
736 BROADWAY N
FARGO, ND 58102
Nurse Anesthetist, Certified Registered
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered (Nutrition, Renal)
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered
736 BROADWAY N
FARGO, ND 58102
Physician Assistant
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered
736 BROADWAY N
FARGO, ND 58102
Nurse Practitioner
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered
736 BROADWAY N
FARGO, ND 58102
Physical Therapist
736 BROADWAY N
FARGO, ND 58102
Dietitian, Registered
736 BROADWAY N
FARGO, ND 58102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609156900, enumerated as an "organization" on August 18, 2011.

The provider is located at 736 BROADWAY N FARGO, ND 58102 and the phone number is (701) 234-2000.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.