Active NPI
Brandy'S Shoes USA , Inc
- Durable Medical Equipment & Medical Supplies
- Pompano Beach, FL
National Provider Identifier
1063758266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PED159
- Legal business name
- BRANDY'S SHOES USA , INC
- Practice address
- 1290 N Federal Hwy
Pompano Beach, FL 33062-3705 - Phone
- (954) 943-9667
- NPI assigned
- Dec 17, 2012
- 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
- Mohammed Asam Asad, M.D
- Title
- President
- Phone
- (954) 943-9667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PED159 | FL | Primary |
Addresses
Primary practice location
1290 N Federal Hwy
Pompano Beach, FL 33062-3705
Mailing address
1290 N Federal Hwy
Pompano Beach, FL 33062-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130718000275 | FL | DME Supplier - Medical Supply Company With Pedorthic Personnel | 8022259928 | Practice locations: Pompano Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brandy'S Shoes USA , Inc | Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1290 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 943-9667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1063758266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 N FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 N FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623705",
"telephone_number": "954-943-9667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDY'S SHOES USA , INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "ASAD",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "ASAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-943-9667",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "PED159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.