NPIMap

Organization Active NPI

Bmoreyouthful LLC

  • Addiction Medicine (Family Medicine) Physician
  • Havre de Grace, MD
National Provider Identifier
1588293138
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
BMOREYOUTHFUL LLC
Practice address
517 Dusk View Dr
Havre de Grace, MD 21078-2369
Phone
(443) 902-1364
NPI assigned
Apr 6, 2020
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Brian West
Title
Provider
Phone
(443) 902-1364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X Primary

Addresses

Primary practice location

517 Dusk View Dr
Havre de Grace, MD 21078-2369

Mailing address

517 Dusk View Dr
Havre de Grace, MD 21078-2369

National Provider Directory

National Provider Directory
Tax ID family
Bmoreyouthful 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1588293138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 DUSK VIEW DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 DUSK VIEW DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782369",
            "telephone_number": "443-902-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMOREYOUTHFUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-902-1364"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.