PHYSICIANS PREMIER
NPI 1710417761
Clinic/Center - Emergency Care in Bryan, TX
NPI Status: Active since June 13, 2017
Contact Information
2411 BOONVILLE RD
BRYAN, TX
ZIP 77808
Phone: (979) 775-0911
Fax: (512) 825-4625
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2128137
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 03-27-2028
About PHYSICIANS PREMIER
This page provides the complete NPI Profile along with additional information for Physicians Premier, a provider established in Bryan, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1710417761 assigned on June 2017. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Physicians Premier. The authorized official of this NPI record is Mr. Jared Shahan Md (Llc Member/manager)
- NPI
- 1710417761
- Provider Legal Name
- BRAZOS VALLEY ER, LLC
- Other Organization Name
- PHYSICIANS PREMIER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2411 BOONVILLE RD BRYAN, TX 77808
- Location Phone
- (979) 775-0911
- Location Fax
- (512) 825-4625
- Mailing Address
- PO BOX 61041 CORPUS CHRISTI, TX 78466
- Mailing Phone
- (361) 884-2904
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2017
- Last Update Date
- 07-21-2022
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
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
- 45D2128137
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- March 28, 2026
- Certificate Expiration Date
- March 27, 2028
- Laboratory Director
- DR. MICHAEL NGUYEN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Physicians Premier 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 1710417761, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710417761, enumerated as an "organization" on June 13, 2017.
The provider is located at 2411 BOONVILLE RD BRYAN, TX 77808 and the phone number is (979) 775-0911.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
