Freedom Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MP00256 Issued in NV

Legal business name

FREEDOM MEDICAL SUPPLY LLC

Practice address

8040 S Eastern Ave
Las Vegas, NV 89123-2526

Phone

(702) 386-9997

Fax

(702) 228-9996

NPI assigned

Nov 4, 2010

Last updated

Jun 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley G MaurerNPI 1588505374

Title

Managing Member

Phone

(702) 386-9997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Freedom Medical Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1659828739
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley G Maurer

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1588505374
  NPD Authorized official
• Fernando A Padilla

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1841139383
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1235430349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232526",
            "telephone_number": "702-386-9997",
            "fax_number": "702-228-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232526",
            "telephone_number": "702-386-9997",
            "fax_number": "702-228-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-386-9997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "MP00256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom House Sober Living Inc
• Freedom in Home Care
• Freedom Interaction (Attention Learning Center)
• Freedom Labs & Diagnostics LLC
• Freedom Medical Group, LLC
• Freedom Medical Supply LLC
• Freedom Pharma LLC (Freedom Pharmacy)
• Freedom Wound Care LLC
• Freedom Wound Care LLC (Freedom Wound Care)
• Brandon D Freel, D.O.

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.