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

Blue River Medical Group, LLC

Organization Internal Medicine Physician · NPI 1770649022

Blue River Medical Group, LLC is an Internal Medicine Physician in Independence, Missouri. Registered with an NPI since 2006.

In the registry since
2006
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

4911 S Arrowhead Dr Ste 101
Independence, MO 64055-7005
Phone: (816) 373-3006
Fax: (816) 373-3087
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1770649022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Mundhenke — President · (816) 373-3006
NPI enumeratedDecember 29, 2006
Last updated in NPPESOctober 10, 2008
Mailing address4911 S Arrowhead Dr, Suite 101, Independence, MO 64055-7005

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