BRE MEDICAL PROVIDERS NPI 1366161945

NPI Information

NPI: 1366161945
Provider Name: BRE MEDICAL PROVIDERS
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
:
CLIA Number: 26D2268011
Address: 405 CENTER ST.
SUITE 1
BISMARCK, MO
ZIP 63624
Phone: (573) 854-2273

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NPI Details

BRE MEDICAL PROVIDERS is a primary care clinic center in Bismarck, MO. BRE MEDICAL PROVIDERS NPI is 1366161945. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

405 CENTER ST.
SUITE 1
BISMARCK, MO
ZIP 63624
Phone: (573) 854-2273
Fax: (573) 200-8033

The provider's authorized official is Kimberly I Weiss .
The authorized official title is Provider and has the following contact phone number (573) 200-8030.

The CLIA number assigned to this NPI record is 26D2268011 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2022 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	Primary
1	261Q00000X	Clinic/Center		No
2	261QC1800X	Clinic/Center	Corporate Health	No
3	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
6	261QR1300X	Clinic/Center	Rural Health	No
7	261QX0100X	Clinic/Center	Occupational Medicine	No
8	313M00000X	Nursing Facility/Intermediate Care Facility		No
9	261QP2300X	Clinic/Center	Primary Care	Yes

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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