Provider Demographics
NPI:1740058064
Name:B&B MEDICAL GROUP, LLC.
Entity type:Organization
Organization Name:B&B MEDICAL GROUP, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE-BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-301-6601
Mailing Address - Street 1:146 W US HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1852
Mailing Address - Country:US
Mailing Address - Phone:219-301-6619
Mailing Address - Fax:219-301-9919
Practice Address - Street 1:146 W US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1852
Practice Address - Country:US
Practice Address - Phone:219-301-6619
Practice Address - Fax:219-301-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty