BLUE MEDICAL LLC – NPI #1124818729
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BLUE MEDICAL LLC is a provider located in NIXA, MO. NPPES has assigned the NPI number 1124818729 to BLUE MEDICAL LLC on May 08, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Oct 22, 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 BLUE MEDICAL LLC below.

NPI Profile for
BLUE MEDICAL LLC

NPI Number
1124818729
Enumeration Date

(more than a year 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
BLUE MEDICAL LLC
Primary location
511 W WOODBINE
NIXA, MO 65714
Phone: (417) 444-3501 Fax:
Mailing address
4319 S NATIONAL AVE # 309
SPRINGFIELD, MO 65810-2607
Phone: (417) 444-3501 Fax:
Organization Subpart
No
Authorized Official
BRIAN SHEFULSKY
OWNER
Phone: (417) 444-3501
Updated
Certification Date
Oct 22, 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
208D00000X
- General Practice (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.