Active NPI
Healthbridge Diagnostics LLC
- Durable Medical Equipment & Medical Supplies
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Jefferson Boiter
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230714003251 | SC | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 9739549205 | Practice locations: Easley, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Healthbridge Diagnostics LLC | Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Durable Medical Equipment & Medical Supplies
- Easley, SC
- NPI 1255076899
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.