Organization Active NPI

Breatherite Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pikeville, KY
National Provider Identifier
1063460285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BREATHERITE MEDICAL, INC.
Practice address
6800 Hwy. Us23 South
Suite 2
Pikeville, KY 41501-6800
Phone
(606) 639-8223
Fax
(606) 639-8233
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Wayne Roberts
Title
President/Owner
Phone
(606) 639-8076

Specialties & licenses 1

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

Addresses

Primary practice location

6800 Hwy. Us23 South
Suite 2
Pikeville, KY 41501-6800

Mailing address

6800 Hwy. Us23 South
Suite 2
Pikeville, KY 41501-6800
Phone (606) 639-8223

Other identifiers 1

IdentifierTypeStateIssuer
90009432MedicaidKY

National Provider Directory

National Provider Directory

Locations

6800 US Highway 23 S
Ste 2
Pikeville, KY 41501
Phone (606) 637-1443

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063460285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 HWY. US23 SOUTH",
            "address_2": "SUITE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016800",
            "telephone_number": "606-639-8223",
            "fax_number": "606-639-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HWY. US23 SOUTH",
            "address_2": "SUITE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016800",
            "telephone_number": "606-639-8223",
            "fax_number": "606-639-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHERITE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "606-639-8076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90009432",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.