Healthcare Provider Details

I. General information

NPI: 1669340550
Provider Name (Legal Business Name): MORGAN BICKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S NATIONAL AVE
SPRINGFIELD MO
65807-5297
US

IV. Provider business mailing address

693 N JOZLYNN AVE
REPUBLIC MO
65738-4207
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2025046325
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: