Individual provider Active NPI

Bradley Cecil

  • Customized Equipment (DME)
  • Thomasville, NC
National Provider Identifier
1003426388
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Practice address
50 E Main St Ste 100
Thomasville, NC 27360-4000
Phone
(336) 313-5163
Fax
(844) 856-9961
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NC Primary

Addresses

Primary practice location

50 E Main St Ste 100
Thomasville, NC 27360-4000

Mailing address

50 E Main St Ste 100
Thomasville, NC 27360-4000
Phone (336) 313-5163

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 8448569961 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Medical Supply LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

50 E Main St
Ste 100
Thomasville, NC 27360
Phone (336) 313-5163

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1003426388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST STE 100",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604000",
            "telephone_number": "336-313-5163",
            "fax_number": "844-856-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E MAIN ST STE 100",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604000",
            "telephone_number": "336-313-5163",
            "fax_number": "844-856-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8448569961",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 E Main St Ste 100",
            "city": "Thomasville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273604000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.