# BEP INTEGRATIVE WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225758691
- **Authorized official:** DR. MARCIA BOCKBRADER MD PHD (OWNER)
- **Authorized official phone:** (614) 286-0305

## Contact information

- **Practice address:** 2929 KENNY RD STE 100, COLUMBUS, OH 43221-2415
- **Practice address phone:** (614) 769-7687
- **Mailing address:** 6565 S SECTION LINE RD, DELAWARE, OH 43015-7961
- **Mailing address phone:** (614) 286-0305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 10/23/2023