BMOREYOUTHFUL LLC NPI 1588293138

NPI Information

  • NPI: 1588293138
  • Provider Name: BMOREYOUTHFUL LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 517 DUSK VIEW DR
    HAVRE DE GRACE, MD
    ZIP 21078
  • Phone: (443) 902-1364

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NPI Details

BMOREYOUTHFUL LLC is an addiction medicine family medicine in Havre De Grace, MD. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. BMOREYOUTHFUL LLC NPI is 1588293138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

517 DUSK VIEW DR
HAVRE DE GRACE, MD
ZIP 21078-369
Phone: (443) 902-1364

The provider's authorized official is Brian West .
The authorized official title is Provider and has the following contact phone number (443) 902-1364.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 4/6/2020.

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
1207QA0401XFamily MedicineAddiction MedicineYes

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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