BP
BRADFORD PLACE SURGERY AND LASER CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
SPRINGFIELD, MO
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1588667208
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients723
RevalidationDue 2025-10-31
Authorized official
NameJENNIFER WYNN
TitleCREDENTIALING
Contact info is locked.
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your contact visible to families.
✓ Is this you? Claim your profile
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your contact visible to families.
✓ Is this you? Claim your profile