Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Medical LLC

Organization General Practice Physician · NPI 1124818729

Blue Medical LLC is a General Practice Physician in Nixa, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 W Woodbine
Nixa, MO 65714
Phone: (417) 444-3501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1124818729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Shefulsky — Owner · (417) 444-3501
NPI enumeratedMay 8, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address4319 S National Ave # 309, Springfield, MO 65810-2607