Organization Active NPI

Healthbridge Diagnostics LLC

  • Durable Medical Equipment & Medical Supplies
  • Easley, SC
National Provider Identifier
1144928383
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEALTHBRIDGE DIAGNOSTICS LLC
Practice address
838 Powdersville Rd Ste F
Easley, SC 29642-3703
Phone
(864) 442-3095
Fax
(864) 880-2783
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
David Jefferson BoiterNPI 1255076899
Title
Owner
Phone
(864) 220-2781

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 1

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

Addresses

Primary practice location

838 Powdersville Rd Ste F
Easley, SC 29642-3703

Mailing address

838 Powdersville Rd Ste F
Easley, SC 29642-3703
Phone (864) 442-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230714003251 SC DME Supplier - Medical Supply Company With Orthotic-Prosthetic 9739549205 Practice locations: Easley, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthbridge Diagnostics LLC838 Powdersville Rd, Easley, SC 29642-3703(864) 442-3095 Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since May 1, 2023

National Provider Directory

National Provider Directory

Locations

838 Powdersville Rd
Ste F
Powdersville, SC 29642
Phone (864) 442-3095

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1144928383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 POWDERSVILLE RD STE F",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423703",
            "telephone_number": "864-442-3095",
            "fax_number": "864-880-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 POWDERSVILLE RD STE F",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423703",
            "telephone_number": "864-442-3095",
            "fax_number": "864-880-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBRIDGE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BOITER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-220-2781"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.