# PIVOT CONCIERGE HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Male Wellness, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891251898
- **Authorized official:** ANTHONY BUDA (OWNER)
- **Authorized official phone:** (402) 350-1024

## Contact information

- **Practice address:** 2801 S 88TH ST, OMAHA, NE 68124-3056
- **Practice address phone:** (402) 885-8125
- **Practice address fax:** (402) 625-0578
- **Mailing address:** 2801 S 88TH ST, OMAHA, NE 68124-3056
- **Mailing address phone:** (402) 885-8125
- **Mailing address fax:** (402) 625-0578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2019
- **Last updated:** 02/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026770100 | — | NE |