BRE MEDICAL PROVIDERS LLC – NPI #1366161945
Clinic/Center

BRE MEDICAL PROVIDERS LLC is an AHC clinic located in BISMARCK, MO. NPPES has assigned the NPI number 1366161945 to BRE MEDICAL PROVIDERS LLC on August 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRE MEDICAL PROVIDERS LLC below.

NPI Profile for
BRE MEDICAL PROVIDERS LLC

NPI Number
1366161945
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRE MEDICAL PROVIDERS LLC
Primary location
405 CENTER ST.
SUITE 1
BISMARCK, MO 63624
Phone: (573) 854-2273 Fax: (573) 200-8033
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBERLY WEISS
FNP/CEO
Phone: (573) 200-8030
Updated
Certification Date
Dec 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
313M00000X
- Nursing Facility/Intermediate Care Facility
261QX0100X
- Clinic/Center / Occupational Medicine
261QR1300X
- Clinic/Center / Rural Health
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
261QM0850X
- Clinic/Center / Adult Mental Health
261QF0050X
- Clinic/Center / Family Planning, Non-Surgical
261QC1800X
- Clinic/Center / Corporate Health
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.