MEDICARE: BPT, 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
1	253J00000X	Foster Care Agency		NV

General Provider Information

NPI Number	:	1851536700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BPT, LLC

Provider Business Mailing Address
First Line	:	3651 LINDELL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	702-943-0293
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	702-943-0293
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. TEGRE MILES
Credential	:
Telephone Number	:	510-681-7988

Provider Enumeration Date	:	12/06/2008
Last Update Date	:	12/06/2008

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