National Med Source LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NATIONAL MED SOURCE LLC

Practice address

1892 West Memorial Hwy
Union Grove, NC 28689-9049

Phone

(704) 539-4445

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ethel R Bradshaw

Title

Sec

Phone

(704) 539-4445

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.

• David R Bradshaw

  • Orthotic Fitter
  • Union Grove, NC
  • NPI 1740517937
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1265502439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "UNION GROVE",
            "state": "NC",
            "postal_code": "286890103",
            "telephone_number": "704-539-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 WEST MEMORIAL HWY",
            "city": "UNION GROVE",
            "state": "NC",
            "postal_code": "286899049",
            "telephone_number": "704-539-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MED SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "704-539-4445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703861",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R Bradshaw
• Timothy R Burgiss, DDS
• Dynamic Minds Treatment and Wellness Center PLLC
• National Med Source

• Durable Medical Equipment & Medical Supplies in Union Grove, NC
• Providers in Union Grove, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.