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NPI Code Detail

MEDICARE: BHG LXXXII, LLC

MEDICARE: BHG LXXXII, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2800XMethadone Clinic
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3101YA0400XAddiction (Substance Use Disorder) Counselor
4207QA0401XAddiction Medicine (Family Medicine) Physician
52083A0300XAddiction Medicine (Preventive Medicine) Physician
6363L00000XNurse Practitioner
7261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
81041C0700XClinical Social Worker
9207RA0401XAddiction Medicine (Internal Medicine) Physician
102084A0401XAddiction Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number : 1316652928
Entity Type Code : Organization
Provider Name (Legal Business Name) : BHG LXXXII, LLC
Provider Business Mailing Address
First Line : 5001 SPRING VALLEY RD STE 600
Second Line :
City : DALLAS
State : TX
Zip : 75244-3946
Country : US
Telephone Number : 214-365-6100
Fax Number : 214-365-6150
Provider Business Practice Location Address
First Line : 3050 EAST DESERT INN ROAD, SUITE 116
Second Line : OBOT ROOM #100
City : LAS VEGAS
State : NV
Zip : 89121-3872
Country : US
Telephone Number : 702-796-0660
Fax Number : 702-796-1835
Authorized Official
Title or Position : CEO
Name : ANTHONY KILGORE
Credential :
Telephone Number : 214-365-6112
Provider Enumeration Date : 01/18/2023
Last Update Date : 09/22/2025

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Directions to “BHG LXXXII, LLC ” Practice Location

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