Bruce a. Megenhardt

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRUCE A. MEGENHARDT

Practice address

3251 Bagnell Dam Blvd
Ste 123
Lake Ozark, MO 65049-9745

Phone

(636) 751-1080

NPI assigned

Jul 24, 2008

Last updated

Jun 26, 2009By 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

Mr. Bruce Allen Megenhardt

Title

Owner/Operator

Phone

(636) 751-1080

Specialties & licenses 1

Addresses

Other names 1

• SARA Services Other name

Locations

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1801051347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 BAGNELL DAM BLVD",
            "address_2": "STE 123",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499745",
            "telephone_number": "636-751-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 BAGNELL DAM BLVD",
            "address_2": "STE 123",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499745",
            "telephone_number": "636-751-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. MEGENHARDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "MEGENHARDT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "636-751-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARA Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.