Organization Active NPI

Kirk a Duncan

Doing business as Pro Medical

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, TX
National Provider Identifier
1114962784
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0043769 Issued in TX
Legal business name
KIRK A DUNCAN
Doing business as
Pro Medical
Practice address
1526 Sam Houston Ave
Huntsville, TX 77340-4533
Phone
(936) 295-7104
Fax
(936) 295-6833
NPI assigned
Jun 18, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Kirk A DuncanNPI 1508036864
Title
Owner
Phone
(936) 295-7104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0043769 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0043769 TX

Addresses

Primary practice location

1526 Sam Houston Ave
Huntsville, TX 77340-4533

Mailing address

1526 Sam Houston Ave
Huntsville, TX 77340-4533
Phone (936) 295-7104

Other identifiers 1

IdentifierTypeStateIssuer
530715OtherTXBLUE CROSS BLUE SHIELD TX

Other names 1

  • Pro Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1526 Sam Houston Ave
Huntsville, TX 77340
Phone (936) 295-7104

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1114962784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 SAM HOUSTON AVE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404533",
            "telephone_number": "936-295-7104",
            "fax_number": "936-295-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 SAM HOUSTON AVE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404533",
            "telephone_number": "936-295-7104",
            "fax_number": "936-295-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK A DUNCAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-295-7104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0043769",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0043769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "530715",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

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