Active NPI
Bakerson Hatton LLC
Doing business as Quality Medical Supply
- Durable Medical Equipment & Medical Supplies
- Alexandria, VA
National Provider Identifier
1225561871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.