A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1003619354 |
| LBN Legal business name | BFDRMP MEDICAL GROUP LLC |
| Authorized official | TYLER STOUT - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/31/2025 |
| Last updated | 06/26/2025 - About 12 months ago |
| Identifiers | n/a |
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BFDRMP MEDICAL GROUP LLC
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