Bryan D. Simmons

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0053646 Issued in TX

Practice address

555 S Shoreline Blvd
Suite 101
Corpus Christi, TX 78401-3552

Phone

(361) 887-9456

Fax

(361) 887-7300

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Simmons Wellness Products Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369440000000",
    "number": "1174550149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S SHORELINE BLVD",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013552",
            "telephone_number": "361-887-9456",
            "fax_number": "361-887-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S SHORELINE BLVD",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013552",
            "telephone_number": "361-887-9456",
            "fax_number": "361-887-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BRYAN",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": "0053646",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0053646",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0053646",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "0053646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154894302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154894303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154894304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154894301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMMONS",
            "last_name": "PRODUCTS",
            "middle_name": "WELLNESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Silva, LPC ASSOCIATE
• Victorian Raelynn Silva
• Manuel Silveira, RPH
• Gregg Lee Silverman, M.D.
• Simmons Wellness Products LLC
• Michael L Simmons, CRNA
• Michael R Simmons, M.D.
• David F Simon, CRNA
• Simply Speech, PLLC
• Allan Christopher Simpson, MD

• Customized Equipment (DME) in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; 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.