BG2 Clinical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BG2 CLINICAL SERVICES LLC

Practice address

857 E Main St Ste 4
Willow Springs, MO 65793-1512

Phone

(417) 469-7385

Fax

(417) 469-7386

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Gregory, PHARMDNPI 1508113705

Title

Owner, Director, Credentialing MGR

Phone

(417) 469-7385

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek J Morrison, D.O.

  • Family Medicine Physician
  • West Plains, MO
  • NPI 1477782621
  Medicare reassignment NPD
• Brandon Gregory, PHARMD

  • Pharmacist
  • Willow Springs, MO
  • NPI 1508113705
  NPD Authorized official
• Marie Ann Dobkins, CHW-C

  • Community Health Worker
  • Willow Springs, MO
  • NPI 1285473918
  NPD
• Bobbi Sue Gregory, CHW-C, CPHT

  • Community Health Worker
  • Willow Springs, MO
  • NPI 1548009269
  NPD
• Jamey Lumley, CHW-C

  • Community Health Worker
  • Willow Springs, MO
  • NPI 1033942727
  NPD
• Rylea Smith, CHW

  • Community Health Worker
  • Willow Springs, MO
  • NPI 1184314205
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1306629894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657930490",
            "telephone_number": "417-855-1085",
            "fax_number": "417-469-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 4",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931512",
            "telephone_number": "417-469-7385",
            "fax_number": "417-469-7386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8499 Ash Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MO",
            "postal_code": "655888563",
            "country_code": "US",
            "telephone_number": "417-469-7385",
            "fax_number": "417-469-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 N Grand St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MO",
            "postal_code": "656618198",
            "country_code": "US",
            "telephone_number": "417-469-7385",
            "fax_number": "417-469-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 State Highway 19 Ste A",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "MO",
            "postal_code": "656066380",
            "country_code": "US",
            "telephone_number": "417-469-7385",
            "fax_number": "417-469-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 S Neosho Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648502051",
            "country_code": "US",
            "telephone_number": "417-451-9501",
            "fax_number": "417-469-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BG2 CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, CREDENTIALING MGR",
        "authorized_official_telephone_number": "417-469-7385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500134121",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Irene Bassett, CPM
• Richard Alan Brischetto, P.T.
• Carly Calton
• Krystal Casey
• Xuanbo Stone Chen, FNP
• Barbara Gayle Cody, PLPC

• Family Medicine Physician in Willow Springs, MO
• Providers in Willow Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.