Active NPI
Med-One, Inc
- Durable Medical Equipment & Medical Supplies
- Yukon, OK
National Provider Identifier
1164458584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MED-ONE, INC
- Practice address
- 729 S Mustang Rd
Yukon, OK 73099-6778 - Phone
- (405) 324-5711
- Fax
- (405) 324-5470
- NPI assigned
- Jun 25, 2006
- 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. Brian Kurt Bersano
- Title
- President
- Phone
- (903) 526-3363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | OK | Primary |
Addresses
Primary practice location
729 S Mustang Rd
Yukon, OK 73099-6778
Mailing address
2811 Robertson Rd
Tyler, TX 75701-2524
Phone (903) 526-3363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200027300A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
729 S Mustang Rd
Yukon, OK 73099
Phone (405) 324-5711
2811 Robertson Rd
Tyler, TX 75701
Phone (903) 526-3363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1164458584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 ROBERTSON RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757012524",
"telephone_number": "903-526-3363",
"fax_number": "903-526-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996778",
"telephone_number": "405-324-5711",
"fax_number": "405-324-5470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-ONE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "BERSANO",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "KURT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-526-3363",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200027300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.