Active NPI
Brothers & Dreams Corporation
- Durable Medical Equipment & Medical Supplies
- Port Saint Lucie, FL
National Provider Identifier
1124209150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B00000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000284400 | Medicaid | FL | |
| 1313469 | Other | FL | AHCA |
Other names 1
- Basic Medical Supplies
National Provider Directory
National Provider DirectoryLocations
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.