OrganizationActive
Blue Medical LLC
NPI 1124818729 · General Practice Physician · Nixa, MO
Provider details
- NPI number
- 1124818729
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Shefulsky, Owner(417) 444-3501
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
511 W Woodbine
Nixa, MO 65714
Phone: (417) 444-3501
Approximate (ZIP-level) locationGet directions
Mailing address
4319 S National Ave # 309
Springfield, MO 65810-2607
Registry dates
- Enumerated
- 2025-05-08
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.