BG2 CLINICAL SERVICES LLC NPI 1306629894

NPI Information

  • NPI: 1306629894
  • Provider Name: BG2 CLINICAL SERVICES LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 857 E MAIN ST STE 4
    WILLOW SPRINGS, MO
    ZIP 65793
  • Phone: (417) 469-7385

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NPI Details

BG2 CLINICAL SERVICES LLC is a family medicine in Willow Springs, MO. The provider is 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. BG2 CLINICAL SERVICES LLC NPI is 1306629894. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

857 E MAIN ST STE 4
WILLOW SPRINGS, MO
ZIP 65793-512
Phone: (417) 469-7385
Fax: (417) 469-7386

The provider's authorized official is Brandon Gregory .
The authorized official title is Owner, Director, Credentialing Mgr and has the following contact phone number (417) 469-7385.

The enumeration date for this NPI number is 8/17/2023 and was last updated on 6/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health WorkerNo
2183500000XPharmacistNo
3183700000XPharmacy TechnicianNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500134121MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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