BMOREYOUTHFUL LLC – NPI #1588293138
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

BMOREYOUTHFUL LLC is a provider located in HAVRE DE GRACE, MD. NPPES has assigned the NPI number 1588293138 to BMOREYOUTHFUL LLC on April 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 BMOREYOUTHFUL LLC below.

NPI Profile for
BMOREYOUTHFUL LLC

NPI Number
1588293138
Enumeration Date

(more than 6 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
BMOREYOUTHFUL LLC
Primary location
517 DUSK VIEW DR
HAVRE DE GRACE, MD 21078-2369
Phone: (443) 902-1364 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRIAN WEST
PROVIDER
Phone: (443) 902-1364
Updated
Certification Date
Apr 06, 2020

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
207QA0401X
- Family Medicine / Addiction 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.