Organization Active NPI

BRR Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Troy, MI
National Provider Identifier
1225452477
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRR MEDICAL SUPPLY
Practice address
2820 W Maple Rd Ste 245
Troy, MI 48084-7065
Phone
(248) 878-1130
Fax
(248) 412-5777
NPI assigned
Feb 8, 2014
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Mr. Keith Roskelly
Title
President
Phone
(248) 918-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2820 W Maple Rd Ste 245
Troy, MI 48084-7065

Mailing address

2820 W Maple Rd Ste 245
Troy, MI 48084-7065
Phone (248) 878-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211007001331 MI DME Supplier - Medical Supply Company 2961800891 Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

330 E Maple Rd
Ste V
Troy, MI 48083

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1225452477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W MAPLE RD STE 245",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847065",
            "telephone_number": "248-878-1130",
            "fax_number": "248-412-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W MAPLE RD STE 245",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847065",
            "telephone_number": "248-878-1130",
            "fax_number": "248-412-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRR MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-08",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "ROSKELLY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-918-8920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.