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
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL 8448569961 Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2020.

{
    "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.