Bwell Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BWELL MEDICAL LLC

Practice address

14846 Tamiami TRL
North Port, FL 34287-2701

Phone

(941) 914-4168

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Lisa J Richards, NP

Title

Owner

Phone

(941) 914-4168

Specialties & licenses 1

Addresses

Other names 1

• BWell Medical LLC Other name

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1992537633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 N BISCAYNE DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342917081",
            "telephone_number": "813-409-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14846 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872701",
            "telephone_number": "941-914-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-914-4168",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWell Medical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Savita Burke, PHARMD
• Valery Michelle Burkholder, FNP
• Mark C Burne, D.M.D.
• Katlynn Marie Burns, MA, BCBA
• Stephen Randal Butcher, PHD, BCBA
• Yolanda A Cadet, MSW
• Rodolfo Alexandre Calheiros de Novais Plech
• Calm Matters, Inc
• Tahtiyana Camba
• Alicia Cameron

• All providers in North Port, FL
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.