Organization Active NPI

Bakerson Hatton LLC

Doing business as Quality Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, VA
National Provider Identifier
1225561871
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BAKERSON HATTON LLC
Doing business as
Quality Medical Supply
Practice address
85 S Bragg St
102G
Alexandria, VA 22312-2797
Phone
(703) 585-9936
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Mr. Kenneth Stallworth
Title
President
Phone
(703) 585-9936

Specialties & licenses 1

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

Addresses

Primary practice location

85 S Bragg St
102G
Alexandria, VA 22312-2797

Mailing address

85 S Bragg St
102G
Alexandria, VA 22312-2797
Phone (703) 585-9936

Other names 1

  • Quality Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

85 S Bragg St
Ste 102G
Alexandria, VA 22312
Phone (703) 585-9936

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1225561871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "102G",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-585-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "102G",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-585-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSON HATTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-585-9936",
        "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": [
        {
            "organization_name": "Quality Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.