Sandra Kay Blum
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Brenham, TX
NPI 1194994376 · NPPES record last updated Feb 21, 2008
Key facts
- NPI
- 1194994376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 1401 S Austin St
Brenham, TX 77833-4557 - Phone
- (979) 836-1240
- Fax
- (979) 836-6556
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medi-Care Equipment Specialties Inc. | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| Medi-Care Equipment Specialties Inc. | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1401 S Austin St
Brenham, TX 77833-4557
Mailing address
1401 S Austin St
Brenham, TX 77833-4557
Phone (979) 836-1240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0191512602 | Medicaid | TX | |
| 0191512601 | Medicaid | TX |
Other providers in Brenham, TX
- Kathryn Dawn Bircher
- Robin Elizabeth Blankenburg
- Blinn College
- Bluebonnet Haven, LLC
- Bluebonnet Pediatric Dentistry PLLC
- Jon F Bode
- Rachel Lynn Boer
- Matthew Howard Boutte
- Brandon Guillory OD
- Brazos Valley Apex Pain Specialists PLLC
All providers in Brenham, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.