# BG2 CLINICAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306629894
- **Authorized official:** DR. BRANDON GREGORY PHARMD (OWNER, DIRECTOR, CREDENTIALING MGR)
- **Authorized official phone:** (417) 469-7385

## Contact information

- **Practice address:** 857 E MAIN ST STE 4, WILLOW SPRINGS, MO 65793-1512
- **Practice address phone:** (417) 469-7385
- **Practice address fax:** (417) 469-7386
- **Mailing address:** PO BOX 490, WILLOW SPRINGS, MO 65793-0490
- **Mailing address phone:** (417) 855-1085
- **Mailing address fax:** (417) 469-7386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 183700000X | Pharmacy Technician | — | NULL | — |
| 183700000X | Pharmacy Technician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 04/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500134121 | — | MO |