LDB Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LDB MEDICAL, INC.

Practice address

2909 Langford Rd
Ste B500
Norcross, GA 30071-1590

Phone

(770) 446-2554

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. L. Derryl Breazeale

Title

President

Phone

(770) 446-2554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235260647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 LANGFORD RD",
            "address_2": "STE B500",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LANGFORD RD",
            "address_2": "STE B500",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711590",
            "telephone_number": "770-446-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDB MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREAZEALE",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "DERRYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-446-2554",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.