Bep Integrative Wellness, LLC

Primary specialty

Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X

Legal business name

BEP INTEGRATIVE WELLNESS, LLC

Practice address

2929 Kenny Rd Ste 100
Columbus, OH 43221-2415

Phone

(614) 769-7687

NPI assigned

Aug 29, 2022

Last updated

Oct 23, 2023By 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

Dr. Marcia Bockbrader, MD PHDNPI 1356578710

Title

Owner

Phone

(614) 286-0305

Specialties & licenses 5

Addresses

Locations

Practitioners 3

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.

• Marcia Aileen Bockbrader, MD PHD

  • Physical Medicine & Rehabilitation Physician
  • Dexter, MI
  • NPI 1356578710
  NPD Authorized official
• Alaina Patrice Neal, LMT, CLT

  • Massage Therapist
  • Dublin, OH
  • NPI 1780041145
  NPD (past)
• Rayburn Thomas Neal III, LMT

  • Massage Therapist
  • Columbus, OH
  • NPI 1073289823
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1225758691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S SECTION LINE RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157961",
            "telephone_number": "614-286-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 KENNY RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212415",
            "telephone_number": "614-769-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEP INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BOCKBRADER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-286-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara M Benutto, O.D.
• Nikki B Benvenuti, PA
• Ariel Ann Benya, PA-C
• Olivia Nicholle Benzing, APRN
• Anne Beoglos, PHARMD
• Bep Medical Group LLC
• Kegan D Beraduce, MSW LISW
• Christina L Beran, PHARMD
• Elizabeth Rose Beran, DO
• Matthew Craig Beran, M.D.

• Physical Medicine & Rehabilitation Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.