BFW Group Holdings LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BFW GROUP HOLDINGS LLC

Practice address

19537 Doctors Dr
Germantown, MD 20874-5262

Phone

(240) 654-4001

NPI assigned

Nov 7, 2023

Organization subpart

Yes

Parent organization

BFW GROUP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Robert I Galaher

Title

Program Sponsor

Phone

(410) 991-5687

Specialties & licenses 2

Addresses

Other names 1

• BornFree Wellness Centers of America LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Opioid treatment program

Medicare-enrolled since Mar 20, 2024

Enrollment records 1

Tax ID family

BFW Group Holdings LLC2 organizations share this tax ID, including this one

Part of

BFW Group Holdings LLC

Other organizations with this tax ID 1

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

• BFW Group Holdings LLC

  • Community/Behavioral Health Agency
  • Germantown, MD
  • NPI 1811610736
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• BFW Group Holdings LLC

  • Community/Behavioral Health Agency
  • Germantown, MD
  • NPI 1811610736
  NPPES parent name

Practitioners 2

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

• Baekcheol Lee, NP

  • Family Nurse Practitioner
  • Germantown, MD
  • NPI 1114405537
  NPD
• John Francis Dombrowski

  • Addiction Medicine (Anesthesiology) Physician
  • Washington, DC
  • NPI 1154329126
  NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1790559136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19537 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745262",
            "telephone_number": "240-654-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19537 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745262",
            "telephone_number": "240-654-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFW GROUP HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BFW GROUP HOLDINGS LLC",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "GALAHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "410-991-5687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BornFree Wellness Centers of America LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tyler Jeffrey Betteridge, PT, DPT
• Gaitee H Beu, LCPC, NCC
• Kayleigh Beyer
• BFW Group Holdings LLC
• Sneha Akash Bhalani
• Deepali Mehta Bhanot, D.M.D.
• Chandrika N Bhut, DDS
• Jayne F Biafore, PT

• Community/Behavioral Health Agency in Germantown, MD
• Providers in Germantown, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.