Organization
BEP INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA BOCKBRADER MD PHD (OWNER)
(614) 286-0305
Entity
Organization
Contact information
Practice address
2929 KENNY RD STE 100, COLUMBUS, OH 43221-2415
(614) 769-7687
Mailing address
6565 S SECTION LINE RD, DELAWARE, OH 43015-7961
(614) 286-0305
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/29/2022
Last updated
10/23/2023
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