Organization Active NPI

Triangle Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
National Provider Identifier
1053613281
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRIANGLE MEDICAL SUPPLY, LLC
Practice address
5755 College St
Suite S
Beaumont, TX 77707-3518
Phone
(409) 840-9300
Fax
(409) 842-4960
NPI assigned
Nov 19, 2010
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Bodre Rising, DCNPI 1447280748
Title
Owner
Phone
(409) 840-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5755 College St
Suite S
Beaumont, TX 77707-3518

Mailing address

5755 College St
Suite S
Beaumont, TX 77707-3518
Phone (409) 840-9300

National Provider Directory

National Provider Directory

Locations

5755 College St
Ste S
Beaumont, TX 77707
Phone (409) 840-9300

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": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1053613281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 COLLEGE ST",
            "address_2": "SUITE S",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073518",
            "telephone_number": "409-840-9300",
            "fax_number": "409-842-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 COLLEGE ST",
            "address_2": "SUITE S",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073518",
            "telephone_number": "409-840-9300",
            "fax_number": "409-842-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BODRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-840-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.