Bridge Integrative Medicine LLC
NPI 1740784214ActiveOrganization· General Practice· Kansas City, MO
General Practice in Kansas City, Missouri, registered in NPPES in March 2018. The authorized official on file is James A. Wyllie, Chief Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740784214 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2018 |
| Last updated in NPPES | Jul 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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