Bruce Braswell, PA
Bruce Braswell, PA is a Medical Physician Assistant in Sikeston, MO, registered under NPI 1619066024. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1008 N MAIN ST, Sikeston, MO 63801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 117542 | MO | Medical Physician Assistant primary |
| 117542 | MO | Nurse Practitioner |
This provider holds licence 117542 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 9739127887
- Enrollment ID
- I20140524000010
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant Medical | 117542 | MO | primary |
| 363L00000X | Nurse Practitioner | 117542 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1619066024 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 12, 2006 |
| Last updated | Sep 22, 2009 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PA |
| Practice address |
1008 N MAIN ST Sikeston, MO 63801 (573) 472-6001 Fax (573) 472-6006 |
| Mailing address |
PO BOX 65 Vandalia, IL 62471 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 1 | 9 | 0 | 6 | 6 | 0 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 2 | 9 | 0 | 6 | 3 | 0 | 4 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.