Organization Active NPI

BHG Lxxii, LLC

Doing business as BHG Medical Services - Huntsville

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
National Provider Identifier
1962178442
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BHG LXXII, LLC
Doing business as
BHG Medical Services - Huntsville
Practice address
4040 Independence Dr NW
Huntsville, AL 35816-3012
Phone
(256) 721-1940
Fax
(256) 721-1934
NPI assigned
Aug 17, 2021
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BHG LXXII, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Jay Higham
Title
Ceo
Phone
(214) 365-6112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4040 Independence Dr NW
Huntsville, AL 35816-3012

Mailing address

5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (214) 365-6100

Other names 1

  • BHG Medical Services - Huntsville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210119002422 AL Part B Supplier - Clinic/Group Practice 5597178244 Receives reassigned benefits from 15 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mobile, AL; Tuscaloosa, AL; Stevenson, AL; Sheffield, AL; Montgomery, AL; Huntsville, AL; Grand Bay, AL; Gadsden, AL…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2303342BHG Lxxii, LLC4040 Independence Drive NW, Obot Room #100, Huntsville, AL 35816Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
BHG Lxxii LLC10 organizations share this tax ID, including this one
Part of
BHG Lxxii LLC

Other organizations with this tax ID 9

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": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1962178442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "214-365-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 INDEPENDENCE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163012",
            "telephone_number": "256-721-1940",
            "fax_number": "256-721-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXXII, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BHG LXXII, LLC",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services - Huntsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.