William Brent Blair

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1347 S Wisconsin Ave
Casper, WY 82609-2936

Phone

(307) 234-3047

Fax

(307) 234-3897

NPI assigned

Jun 10, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wymed Supply, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1164556833
  NPD (past) Authorized official

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1114187572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 S WISCONSIN AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092936",
            "telephone_number": "307-234-3047",
            "fax_number": "307-234-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 S WISCONSIN AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092936",
            "telephone_number": "307-234-3047",
            "fax_number": "307-234-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "WILLIAM",
        "middle_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119089001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Bjornson
• Linda M Blackdeer, CAP, BSW
• Jessica Blackman
• Kathy J Blair, PT
• Sarah Blair, CD(DONA)
• Miranda Elizabeth Blajszczak, RN
• Sarah Jo Blake, BSN
• Alecia Elaine Blakeley
• Samuel Aarin Blakeslee, RPH
• Jenfer Blatter, M.S.

• Durable Medical Equipment & Medical Supplies in Casper, WY
• Providers in Casper, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.