# BHG LXVI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BHG Medical Services-Bremen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811596646
- **Authorized official:** ZACK RAGSDALE (CRED ACCOUNT MANAGER)
- **Authorized official phone:** (512) 454-5911

## Contact information

- **Practice address:** 1021 ALABAMA AVENUE, BREMEN, GA 30110
- **Practice address phone:** (770) 537-7007
- **Mailing address:** 5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244
- **Mailing address phone:** (214) 365-6100
- **Mailing address fax:** (214) 365-6150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 04/07/2025