PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC – NPI #1093421869
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC is a provider located in CHEYENNE, WY. NPPES has assigned the NPI number 1093421869 to PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC on January 25, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Sep 04, 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 PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC below.

NPI Profile for
PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC

NPI Number
1093421869
Enumeration Date

(more than 3 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
PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC
Primary location
1331 PRAIRIE AVE STE 2
CHEYENNE, WY 82009-4867
Phone: (888) 829-8550 Fax:
Mailing address
800 N MAGNOLIA AVE STE 700
ORLANDO, FL 32803-3264
Phone: Fax:
Organization Subpart
Yes - PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC is subpart of another organization.
Authorized Official
BRETT KENEFICK
PRESIDENT
Phone: (888) 829-8550
Updated
Certification Date
Sep 04, 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
207Q00000X
- Family Medicine (Primary)

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.