Organization Active NPI

Bethharold Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1083714489
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4297310001 Issued in MI
Legal business name
BETHHAROLD DURABLE MEDICAL EQUIPMENT
Practice address
15565 Northland Dr.
Suite 403E
Southfield, MI 48075
Phone
(248) 750-0234
Fax
(248) 423-3301
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Joann Braggs, R.N
Title
Administrator
Phone
(248) 750-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4297310001 MI Primary

Addresses

Primary practice location

15565 Northland Dr.
Suite 403E
Southfield, MI 48075

Mailing address

15565 Northland Dr.
Suite 403E
Southfield, MI 48075
Phone (248) 750-0234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1083714489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR.",
            "address_2": "SUITE 403E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-750-0234",
            "fax_number": "248-423-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR.",
            "address_2": "SUITE 403E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-750-0234",
            "fax_number": "248-423-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHHAROLD DURABLE MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "BRAGGS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-750-0234",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4297310001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.