BHG MEDICAL SERVICES - MISSOURI
NPI 1629789961
Clinic/Center - Rehabilitation, Substance Use Disorder in Poplar Bluff, MO

Active since December 07, 2022CLIA 26D2305869 · Waiver
1369 N WESTWOOD BLVD STE C, POPLAR BLUFF, MO 63901(573) 722-7937(573) 785-0346 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 26, 2024, Sep 23, 2024, Dec 7, 2022 (3 updates tracked since 2022).

About Bhg Medical Services - Missouri NPPES

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

BHG MEDICAL SERVICES - MISSOURI (NPI 1629789961) is a healthcare organization registered as a rehabilitation, substance use disorder in Poplar Bluff, Missouri and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Jay Higham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629789961
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBHG LXXIV, LLC
Location Address1369 N WESTWOOD BLVD STE CPoplar Bluff, MO 63901-3313
Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244 · (214) 365-6100 · Fax (214) 365-6150
Fax(573) 785-0346
Organization SubpartYes
Authorized OfficialJay HighamCeo · (214) 365-6112
Enumeration DateDecember 7, 2022
Last NPPES UpdateDecember 26, 20243 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1629789961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
1369 N WESTWOOD BLVD STE C, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsBhg Medical Services - Missouri

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhg Medical Services - Missouri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Bhg Medical Services - Missouri, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner6
Family Practice4
Psychiatry2
Addiction Medicine1
Neurology1
Obstetrics/Gynecology1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1932625266
2651 SHELBY RD
Poplar Bluff, MO 63901
(573) 843-8380
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1215915889
196 TIMBER RIDGE TRL
Poplar Bluff, MO 63901
(573) 686-4133
✔ PECOS7.7 mi
Family Practice
NPI 1598339103
3250 GORDONVILLE RD STE 450
Cape Girardeau, MO 63703
(573) 331-5329
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1689650855
1709 GIBSON STREET
West Plains, MO 65775
(417) 256-1006
✔ PECOS81 mi
Family Practice
NPI 1558776229
5383 E PLEASANT VALLEY LN
Springfield, MO 65809
(314) 540-9894
✔ PECOS156 mi
Nurse Practitioner
NPI 1194966713
2900A S NATIONAL AVE
Springfield, MO 65804
(417) 269-9530
✔ PECOS✔ Accepts Medicare161 mi
Nurse Practitioner
NPI 1245471994
1000 E PRIMROSE ST SUITE 320 A & B
Springfield, MO 65807
(417) 269-2300
✔ PECOS161 mi
Addiction Medicine
NPI 1528192150
1423 N JEFFERSON AVE
Springfield, MO 65802
(417) 269-2273
✔ PECOS✔ Accepts Medicare163 mi
Psychiatry
NPI 1639529746
1 HOSPITAL DR
Columbia, MO 65212
(573) 882-8006
✔ PECOS184 mi
Psychiatry
NPI 1356399463
3 HOSPITAL DR
Columbia, MO 65201
(573) 882-2511
✔ PECOS184 mi
Neurology
NPI 1578636734
920 E BROADWAY SUITE 203
Columbia, MO 65201
(573) 256-7755
✔ PECOS185 mi
Family Practice
NPI 1497833610
880 W MAIN ST
Booneville, AR 72927
(479) 675-2800
✔ PECOS✔ Accepts Medicare226 mi
Family Practice
NPI 1144435579
1741 NE DOUGLAS ST STE 200
Lees Summit, MO 64086
(816) 246-0200
✔ PECOS264 mi
Obstetrics/Gynecology
NPI 1609836857
1912 COMMERCE AVE
Cullman, AL 35055
(256) 739-5595
✔ PECOS✔ Accepts Medicare265 mi
Nurse Practitioner
NPI 1720873490
6331 W 110TH ST
Overland Park, KS 66211
(913) 696-1911
✔ PECOS277 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 26D2305869

Bhg Lxxiv, LLC D/B/A Bhg Medical Services - Missouri · Poplar Bluff, MO
Active · expires Jun 6, 2028
CLIA Number26D2305869
Laboratory TypeOffice Based Opioid Treat
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorChristopher Thomason
Laboratory Phone(573) 772-7937
Laboratory LocationBhg Lxxiv, LLC D/B/A Bhg Medical Services - Missouri1369 North Westwood Blvd, Ste C, Obot Room 100, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bhg Lxxiv, LLC's NPI number?

The NPI number for Bhg Lxxiv, LLC is 1629789961. It was assigned to this organization in the NPPES registry on December 7, 2022. The provider is doing business as Bhg Medical Services - Missouri.

Where is Bhg Lxxiv, LLC located?

Bhg Lxxiv, LLC is located at 1369 N Westwood Blvd Ste C, Poplar Bluff, MO 63901. The listed phone number is (573) 722-7937.

What is Bhg Lxxiv, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Bhg Lxxiv, LLC enrolled in Medicare?

Yes. Bhg Lxxiv, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bhg Lxxiv, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Bhg Lxxiv, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (4) and Psychiatry (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bhg Lxxiv, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2305869) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhg Lxxiv, LLC was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.