Rooster Medical Equipment & Supplies

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0060761 Issued in TX

Legal business name

ROOSTER MEDICAL EQUIPMENT & SUPPLIES

Practice address

3000 Sandage Ave
109
Fort Worth, TX 76109-1768

Phone

(817) 923-1900

Fax

(817) 923-1952

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

B J Ekanem

Title

Owner

Phone

(817) 923-1900

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255323671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SANDAGE AVE",
            "address_2": "109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091768",
            "telephone_number": "817-923-1900",
            "fax_number": "817-923-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SANDAGE AVE",
            "address_2": "109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091768",
            "telephone_number": "817-923-1900",
            "fax_number": "817-923-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSTER MEDICAL EQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EKANEM",
        "authorized_official_first_name": "B J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-923-1900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0060761",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0060761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "531195",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513520102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron G Davidson, OD PC Dba Eyes Nouveau
• Ronald a Stewart, D.O., P.a.
• Elora Ronaldes, M.ED., LPC-ASSOCIATE
• Ryan Guillermo Ronces
• George Luis Rondon, LCSW
• Root and Ember Counseling PLLC
• Oddeth Root, MSN, RN-BC, NP
• Rooted Therapies, PLLC
• Rophe Wellness Inc.
• Ferran Ros, D.O.

• Parenteral & Enteral Nutrition Supplies (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.