Active NPI
Pneumowave, Inc.
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
National Provider Identifier
1043194772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.