Bohannan Medical Dist., LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOHANNAN MEDICAL DIST., LLC

Practice address

11417 N Boulder Creek CT
Dunlap, IL 61525-1500

Phone

(309) 678-8081

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Tommy BohannanNPI 1407213796

Title

Owner

Phone

(309) 678-8081

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tommy Bohannan

  • Durable Medical Equipment & Medical Supplies
  • Dunlap, IL
  • NPI 1407213796
  NPD (past) Authorized official

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1225499080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 N BOULDER CREEK CT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615251500",
            "telephone_number": "309-678-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 N BOULDER CREEK CT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615251500",
            "telephone_number": "309-678-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHANNAN MEDICAL DIST., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "BOHANNAN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-678-8081",
        "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": []
}

• Heather M Arnett, D.C.
• B&B Healthcare LLC
• Jessica Barrack
• Kristi Anne Bauer, OT
• Bethany Vanne Counseling, PLLC
• Tommy Bohannan
• Carrie Cafferty, RPH.
• Central Illinois Rheumatology PLLC
• Elizabeth Georgeanne Dennis
• Abani Dhewajoo, LCSW

• Durable Medical Equipment & Medical Supplies in Dunlap, IL
• Providers in Dunlap, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.