Organization Active NPI

Brothers & Dreams Corporation

  • Durable Medical Equipment & Medical Supplies
  • Port Saint Lucie, FL
National Provider Identifier
1124209150
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in FL
Legal business name
BROTHERS & DREAMS CORPORATION
Practice address
7592 S US Highway 1
Port Saint Lucie, FL 34952-1450
Phone
(772) 878-2057
Fax
(772) 878-2058
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Mr. Oswaldo Herrera
Title
Director
Phone
(772) 878-2057

Specialties & licenses 1

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

Addresses

Primary practice location

7592 S US Highway 1
Port Saint Lucie, FL 34952-1450

Mailing address

7592 S US Highway 1
Port Saint Lucie, FL 34952-1450
Phone (772) 878-2057

Other identifiers 2

IdentifierTypeStateIssuer
000284400MedicaidFL
1313469OtherFLAHCA

Other names 1

  • Basic Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

7592 S US Highway 1
Port Saint Lucie, FL 34952
Phone (772) 878-2057

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1124209150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7592 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521450",
            "telephone_number": "772-878-2057",
            "fax_number": "772-878-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7592 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521450",
            "telephone_number": "772-878-2057",
            "fax_number": "772-878-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS & DREAMS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "OSWALDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-878-2057",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000284400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "1313469",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basic Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.