Organization Active NPI

Bay Area Durable Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Brandon, FL
National Provider Identifier
1134905706
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAY AREA DURABLE MEDICAL EQUIPMENT LLC
Practice address
115 Margaret St Ste D-2
Brandon, FL 33511-5257
Phone
(813) 708-7911
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Deshae MartinNPI 1861945719
Title
Ceo
Phone
(813) 679-5122

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
Home Health Agency 251E00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

115 Margaret St Ste D-2
Brandon, FL 33511-5257

Mailing address

2105 Roanoke Springs Dr
Ruskin, FL 33570-6312
Phone (813) 585-7708

National Provider Directory

National Provider Directory
Tax ID family
Alliance Coastal Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Margaret St
Ste D2
Brandon, FL 33511
Phone (813) 708-7911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1134905706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ROANOKE SPRINGS DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335706312",
            "telephone_number": "813-585-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MARGARET ST STE D-2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115257",
            "telephone_number": "813-708-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DESHAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-679-5122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.