Bre Medical Providers is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bismarck, Missouri. The current practice location for Bre Medical Providers is 405 Center St., Suite 1, Bismarck, Missouri. For appointments, you can reach them via phone at
(573) 854-2273. The mailing address for Bre Medical Providers is 405 Center St., Bismarck, Missouri and phone number is (573) 200-8030.
Bre Medical Providers is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1366161945. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(573) 854-2273.
Primary Care Clinic Profile
| Full Name | Bre Medical Providers |
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| Speciality | Clinic/Center |
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| Location | 405 Center St., Bismarck, Missouri |
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| Authorized Official Name and Position | Kimberly I Weiss (PROVIDER) |
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| Authorized Official Contact | 5732008030 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bre Medical Providers
405 Center St.
Bismarck
MO 63624
Ph: (573) 200-8030 | Bre Medical Providers
405 Center St.
Suite 1
Bismarck
MO 63624
Ph: (573) 854-2273 |
NPI Details:
| NPI Number | 1366161945 |
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| Provider Enumeration Date | 08/25/2022 |
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| Last Update Date | 01/04/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0547645434 |
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| Medicare Enrollment ID | O20220913001863 |
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Medical Identifiers
Medical identifiers for Bre Medical Providers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366161945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QC1800X | Clinic/center - Corporate Health | (* (Not Available)) | Secondary |
| 261QF0050X | Clinic/center - Family Planning, Non-surgical | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
| 313M00000X | Nursing Facility/intermediate Care Facility | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bre Medical Providers acts as a billing entity for following providers:
| Provider Name | Kimberly Irene Weiss |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1073268488
PECOS PAC ID: 0941687081
Enrollment ID: I20220511001862 |
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