Organization Active NPI

Med-One, Inc

  • Durable Medical Equipment & Medical Supplies
  • Yukon, OK
National Provider Identifier
1164458584
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Feb 2, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200027300AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.