Organization Active NPI

Bump Health Inc

Doing business as Bump Boxes, Inc

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
National Provider Identifier
1003462581
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BUMP HEALTH INC
Doing business as
Bump Boxes, Inc
Practice address
7719 N Pioneer LN
Peoria, IL 61615-1910
Phone
(888) 913-7879
Fax
(309) 405-0268
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mr. Leland Daniel Deehring
Title
President
Phone
(888) 913-7879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

7719 N Pioneer LN
Peoria, IL 61615-1910

Mailing address

7719 N Pioneer LN
Peoria, IL 61615-1910
Phone (888) 913-7879

Other identifiers 10

IdentifierTypeStateIssuer
1003462581MedicaidMI
30004828660001MedicaidKS
5100521MedicaidIL
100201828MedicaidWI
7100864750MedicaidKY
159003MedicaidAZ
620109893MedicaidMO
300065914MedicaidIN
30015097360002MedicaidVA
1003462581MedicaidIA

Other names 1

  • Bump Boxes, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200214001068 IL DME Supplier - Medical Supply Company 4789010539 Practice locations: Peoria, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bump Boxes Inc7719 N Pioneer LN, Peoria, IL 61615-1910(888) 913-7879 Blood Glucose Monitors/Supplies (Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 27, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1003462581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 N PIONEER LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151910",
            "telephone_number": "888-913-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 N PIONEER LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151910",
            "telephone_number": "888-913-7879",
            "fax_number": "309-405-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUMP HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DEEHRING",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-913-7879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003462581",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004828660001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100521",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100201828",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100864750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159003",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620109893",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300065914",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015097360002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003462581",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bump Boxes, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bump Boxes, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.