Organization Active NPI

Pneumowave, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1043194772
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PNEUMOWAVE, INC.
Doing business as
PneumoWave, Inc.
Practice address
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone
(860) 373-3174
Fax
(860) 373-3174
NPI assigned
Aug 5, 2025
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Richie Bavasso
Title
President
Phone
(860) 373-3174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Mailing address

4900 Ohear Ave Ste 100
North Charleston, SC 29405-5091
Phone (860) 373-3174

Other names 1

  • PneumoWave, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

4900 Ohear Ave
Ste 100
North Charleston, SC 29405
Phone (843) 925-7505

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1043194772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OHEAR AVE STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055091",
            "telephone_number": "860-373-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FAYETTEVILLE ST STE 1100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013000",
            "telephone_number": "860-373-3174",
            "fax_number": "860-373-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNEUMOWAVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "BAVASSO",
        "authorized_official_first_name": "RICHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-373-3174"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PneumoWave, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.