DR. JUSTIN F BUBOLZ M.D.
NPI 1962481630
Pediatrics in Hannibal, MO

NPI Status: Active since January 11, 2006

Contact Information

100 MEDICAL DR
HANNIBAL, MO
ZIP 63401
Phone: (573) 231-3102
Fax: (573) 231-3723

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  • Individual
  • Male
  • Pediatrics

About JUSTIN BUBOLZ

This page provides the complete NPI Profile along with additional information for Justin Bubolz, a pediatrician established in Hannibal, Missouri with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1962481630 assigned on January 2006. The practitioner's primary taxonomy code is 208000000X with license number R2H02 (MO). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1962481630
Provider Name
DR. JUSTIN F BUBOLZ M.D.
Gender
Male
Entity Type
Individual
Location Address
100 MEDICAL DR HANNIBAL, MO 63401
Location Phone
(573) 231-3102
Location Fax
(573) 231-3723
Mailing Address
100 MEDICAL DR HANNIBAL, MO 63401
Mailing Phone
(573) 231-3102
Mailing Fax
(573) 231-3723
Is Sole Proprietor?
No
Enumeration Date
01-11-2006
Last Update Date
10-08-2021
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A pediatrician like Justin Bubolz is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
R2H02
License State
MO
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
209722503MEDICAID (05)MO 

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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 1962481630, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
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 6 → 12 → 3 4 → 8 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 8 + 8 + 2 + 6 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962481630.

Other Providers at the Same Location


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

Registered Nurse (Women's Health Care, Ambulatory)
100 MEDICAL DR
HANNIBAL, MO 63401
Audiologist
100 MEDICAL DR
HANNIBAL, MO 63401
Optometrist
100 MEDICAL DR
HANNIBAL, MO 63401
Hospitalist
100 MEDICAL DR
HANNIBAL, MO 63401
Allergy & Immunology (Allergy)
100 MEDICAL DR
HANNIBAL, MO 63401
Eyewear Supplier
100 MEDICAL DR
HANNIBAL, MO 63401
Counselor (Professional)
100 MEDICAL DR
HANNIBAL, MO 63401
Pediatrics (Adolescent Medicine)
100 MEDICAL DR
HANNIBAL, MO 63401
Internal Medicine
100 MEDICAL DR
HANNIBAL, MO 63401
Pediatrics
100 MEDICAL DR
HANNIBAL, MO 63401
Obstetrics & Gynecology
100 MEDICAL DR
HANNIBAL, MO 63401
Internal Medicine (Interventional Cardiology)
100 MEDICAL DR
HANNIBAL, MO 63401
Internal Medicine
100 MEDICAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Family)
100 MEDICAL DR
HANNIBAL, MO 63401
Nurse Practitioner
100 MEDICAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Family)
100 MEDICAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Family)
100 MEDICAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Family)
100 MEDICAL DR
HANNIBAL, MO 63401
Obstetrics & Gynecology
100 MEDICAL DR
HANNIBAL, MO 63401
Family Medicine
100 MEDICAL DR
HANNIBAL, MO 63401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962481630, enumerated as an "individual" on January 11, 2006.

The provider is located at 100 MEDICAL DR HANNIBAL, MO 63401 and the phone number is (573) 231-3102.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.