BRENDA WALLER SOLE MEMBER
NPI 1982930673
Physical Medicine & Rehabilitation in Lynchburg, VA
NPI Status: Active since October 30, 2009
Contact Information
1935 THOMSON DR
LYNCHBURG, VA
ZIP 24501
Phone: (434) 528-0896
Fax: (434) 528-0898
- Organization
- Physical Medicine & Rehabilitation
- CLIA Number: 49D2018868
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-21-2027
About BRENDA WALLER SOLE MEMBER
This page provides the complete NPI Profile along with additional information for Brenda Waller Sole Member, a provider established in Lynchburg, Virginia operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1982930673 assigned on October 2009. The practitioner's primary taxonomy code is 208100000X with license number 0101055485 (VA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Brenda Waller Sole Member. The authorized official of this NPI record is Dr. Brenda Sue Waller Md (Ceo)
- NPI
- 1982930673
- Provider Legal Name
- PRIS, PLC
- Other Organization Name
- BRENDA WALLER SOLE MEMBER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1935 THOMSON DR LYNCHBURG, VA 24501
- Location Phone
- (434) 528-0896
- Location Fax
- (434) 528-0898
- Mailing Address
- 1935 THOMSON DR LYNCHBURG, VA 24501
- Mailing Phone
- (434) 528-0896
- Mailing Fax
- (434) 528-0898
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2009
- Last Update Date
- 10-30-2009
- 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
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101055485
- License State
- VA
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 |
|---|---|---|---|
| 190001017 | MEDICARE PIN (08) | VA | |
| E33409 | MEDICARE UPIN (02) | VA | |
| 010045100 | MEDICAID (05) | VA |
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
- 49D2018868
- Facility Type
- Physician Office
- Certificate Effective Date
- September 22, 2025
- Certificate Expiration Date
- September 21, 2027
- Laboratory Director
- BRENDA S. WALLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brenda Waller Sole Member 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 1982930673, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982930673, enumerated as an "organization" on October 30, 2009.
The provider is located at 1935 THOMSON DR LYNCHBURG, VA 24501 and the phone number is (434) 528-0896.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
