Graymont Equipment Distribution, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GRAYMONT EQUIPMENT DISTRIBUTION, LLC

Doing business as

Graymont Medical

Practice address

2214 W Hubbard St
Chicago, IL 60612-1614

Phone

(312) 291-9305

Fax

(312) 896-1436

NPI assigned

Nov 19, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bryce Beasley

Title

Ceo

Phone

(312) 291-9305

Specialties & licenses 2

Addresses

Other names 1

• Graymont Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Graymont Equipment Distribution LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Graymont Equipment Distribution, LLC

  dba Graymont Medical

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
  • NPI 1568036721
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Graymont Equipment Distribution, LLC

  dba Graymont Medical

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
  • NPI 1568036721
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1003150723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121614",
            "telephone_number": "312-291-9305",
            "fax_number": "312-896-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121614",
            "telephone_number": "312-291-9305",
            "fax_number": "312-896-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYMONT EQUIPMENT DISTRIBUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-291-9305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graymont Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tedra Duana Gray, N.P.
• Yev Gray, D.P.M.
• Jessica M Grayer-Brumfield, LCSW
• Dannielle C Grayer, MD
• John Grayhack, MD
• Graymont Equipment Distribution, LLC (Graymont Medical)
• Darita Rose Grays
• Patricia Grayson, APRN
• Rayell Marie Grayson, LCPC, CADC
• Grayvan Transportation Inc

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.