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LIVE YOUNG MEDICAL LLC
NPI 1306684295
Nurse Practitioner - Family in Sergeant Bluff, IA

Active since July 16, 2024
112 GAUL DR, SERGEANT BLUFF, IA 51054(402) 681-8662 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Live Young Medical Llc NPPES

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

LIVE YOUNG MEDICAL LLC (NPI 1306684295) is a healthcare organization registered as a family in Sergeant Bluff, Iowa and active in the NPI registry since July 2024. The organization lists Matthew James Bonham, V.p Operations, as its authorized official.

NPPES Registry Identity

NPI1306684295
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLIVE YOUNG MEDICAL LLC
Location Address112 GAUL DRSergeant Bluff, IA 51054-8963
Mailing Address112 Gaul DrSergeant Bluff, IA 51054-8963 · (402) 681-8662
Phone(402) 681-8662
Organization SubpartNo
Authorized OfficialMatthew James BonhamV.p Operations · (402) 681-4829
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1306684295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedGeneral PracticeTaxonomy 208D00000X
112 GAUL DR, Sergeant Bluff, IA 51054
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KISMET SUX LLC
Home Health
112 GAUL DR
SERGEANT BLUFF, IA 51054
Woodbury County (712) 943-7644
BONNIE SUE KNUTSON PTA
Physical Therapy Assistant
112 GAUL DR
SERGEANT BLUFF, IA 51054
Woodbury County (712) 943-7644

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 Live Young Medical LLC's NPI number?

The NPI number for Live Young Medical LLC is 1306684295. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Live Young Medical LLC located?

Live Young Medical LLC is located at 112 Gaul Dr, Sergeant Bluff, IA 51054. The listed phone number is (402) 681-8662.

What is Live Young Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Live Young Medical LLC was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.