Boob Shop

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOOB SHOP

Practice address

4900 Broadway St Ste 700
San Antonio, TX 78209-5739

Phone

(757) 706-5571

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Brooke StrachanNPI 1881215572

Title

President

Phone

(757) 706-5571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brooke Strachan

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1881215572
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1225650666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TREELINE PARK APT 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782097401",
            "telephone_number": "757-706-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROADWAY ST STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095739",
            "telephone_number": "757-706-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOB SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "STRACHAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-706-5571"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS TAXPAYER ID",
            "identifier": "32073080122",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina K Bonnette, RD
• Elsabeth Daphne Bonson
• James E Bonson Jr., PA-C
• Bettina Jewel Bonsu
• Magdalene Bonsu
• Ashley Karen Book, PA
• Booker Hospital District
• Michelle Lynn Booker-Horn, FNP-C
• Brendi Jonelle Booker
• Chara Marie Booker, DPT

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.