BHG Lxxxvi, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

BHG LXXXVI, LLC

Doing business as

BHG Medical Services - Iowa

Practice address

3811 North Harrison Street
Obot Room #100
Davenport, IA 52806-5911

Phone

(563) 388-8000

Fax

(563) 388-8002

NPI assigned

Jan 24, 2023

Last updated

Sep 22, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Kilgore

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 11

Addresses

Other names 1

• BHG Medical Services - Iowa Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BHG Lxxxvi, LLC

  dba BHG Medical Services - Idaho

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Des Moines, IA
  • NPI 1831809862

  O20230817001579

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BHG Lxxxvi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BHG Lxxxvi, LLC

  dba BHG Medical Services - Idaho

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Des Moines, IA
  • NPI 1831809862
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Fitzgerald, ARNP

  • Nurse Practitioner
  • Des Moines, IA
  • NPI 1730190059
  NPD
• Paul L Mulhausen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Des Moines, IA
  • NPI 1588647887
  NPD
• Ashley Rosas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bettendorf, IA
  • NPI 1891272373
  NPD
• Jacqueline Beth Blackburn, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1326578725
  NPD
• Erica Jo Robinson

  • Counselor
  • Davenport, IA
  • NPI 1437021714
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1093421026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 NORTH HARRISON STREET",
            "address_2": "OBOT ROOM #100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065911",
            "telephone_number": "563-388-8000",
            "fax_number": "563-388-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXXXVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services - Iowa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Medical Services - Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction Medicine (Psychiatry & Neurology) Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.