BRE MEDICAL PROVIDERS LLC
NPI 1366161945
Clinic/Center - Primary Care in Bismarck, MO

Active since August 25, 2022CLIA 26D2268011 · Waiver
405 CENTER ST., SUITE 1, BISMARCK, MO 63624(573) 854-2273(573) 200-8033 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Jun 12, 2025, Jan 4, 2024 and 3 more (6 updates tracked since 2022).

About Bre Medical Providers Llc NPPES

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

BRE MEDICAL PROVIDERS LLC (NPI 1366161945), doing business as Bismarck Medical Providers, is a healthcare organization registered as a primary care in Bismarck, Missouri and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Kimberly Irene Weiss, Fnp/ceo, as its authorized official.

NPPES Registry Identity

NPI1366161945
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRE MEDICAL PROVIDERS LLC
Location Address405 CENTER ST., SUITE 1Bismarck, MO 63624
Mailing Address405 Center St.Bismarck, MO 63624 · (573) 200-8030 · Fax (573) 200-8033
Fax(573) 200-8033
Organization SubpartNo
Authorized OfficialKimberly Irene WeissFnp/ceo · (573) 200-8030
Enumeration DateAugust 25, 2022
Last NPPES UpdateDecember 30, 20256 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1366161945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Corporate HealthTaxonomy 261QC1800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
405 CENTER ST., Bismarck, MO 63624

Other Names 1

Doing Business AsBismarck Medical Providers

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2268011

Bre Medical Providers LLC Dba Bismarck Medical Providers · Bismarck, MO
Active · expires Sep 5, 2026
CLIA Number26D2268011
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorKimberly I. Weiss
Laboratory Phone(573) 200-8030
Laboratory LocationBre Medical Providers LLC Dba Bismarck Medical Providers405 Center Street, Suite 1, Bismarck, MO 63624
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
405 CENTER ST., SUITE 1
BISMARCK, MO 63624

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 Bre Medical Providers LLC's NPI number?

The NPI number for Bre Medical Providers LLC is 1366161945. It was assigned to this organization in the NPPES registry on August 25, 2022. The provider is doing business as Bismarck Medical Providers.

Where is Bre Medical Providers LLC located?

Bre Medical Providers LLC is located at 405 Center St. Suite 1, Bismarck, MO 63624. The listed phone number is (573) 854-2273.

What is Bre Medical Providers LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bre Medical Providers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2268011) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bre Medical Providers LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Bre Medical Providers LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bre Medical Providers LLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.