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BLUE MEDICAL LLC
NPI 1124818729
General Practice in Nixa, MO

Active since May 08, 2025
511 W WOODBINE, NIXA, MO 65714(417) 444-3501 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE MEDICAL LLC (NPI 1124818729) is a healthcare organization registered as a general practice in Nixa, Missouri and active in the NPI registry since May 2025. The organization lists Brian Maurice Shefulsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1124818729
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE MEDICAL LLC
Location Address511 W WOODBINENixa, MO 65714
Mailing Address4319 S National Ave # 309Springfield, MO 65810-2607 · (417) 444-3501
Phone(417) 444-3501
Organization SubpartNo
Authorized OfficialBrian Maurice ShefulskyOwner · (417) 444-3501
Enumeration DateMay 8, 2025
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1124818729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
511 W WOODBINE, Nixa, MO 65714
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Medical LLC's NPI number?

The NPI number for Blue Medical LLC is 1124818729. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Blue Medical LLC located?

Blue Medical LLC is located at 511 W Woodbine, Nixa, MO 65714. The listed phone number is (417) 444-3501.

What is Blue Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Blue Medical LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.