NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Live Young Medical LLC

Family Nurse Practitioner in Sergeant Bluff, IA · enumerated 2024 · authorized official Matthew Bonham, V.P Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306684295

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Live Young Medical LLC
Practice address 112 Gaul Dr, Sergeant Bluff, IA, 51054
Phone (402) 681-8662
Enumeration date Jul 16, 2024
Last updated in NPPES Jul 16, 2024

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Matthew Bonham
Title V.P Operations
Phone (402) 681-4829

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Live Young Medical LLC?
Live Young Medical LLC is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-16.