Nea Medsource, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MG00793 Issued in AR

Legal business name

NEA MEDSOURCE, INC

Practice address

2829 Stadium Blvd
Jonesboro, AR 72401-7427

Phone

(870) 931-4455

Fax

(870) 931-4456

NPI assigned

Sep 25, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brad Steele Cullum

Title

President

Phone

(870) 931-4455

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053412197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 STADIUM BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017427",
            "telephone_number": "870-931-4455",
            "fax_number": "870-931-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 STADIUM BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017427",
            "telephone_number": "870-931-4455",
            "fax_number": "870-931-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEA MEDSOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CULLUM",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "STEELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-931-4455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00793",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "MG00793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Oxygen Equipment & Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.