Active NPI
Bethesda Medical Equipment & Supply Co, Inc
- Durable Medical Equipment & Medical Supplies
- Lawrenceville, GA
National Provider Identifier
1275854002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BETHESDA MEDICAL EQUIPMENT & SUPPLY CO, INC
- Practice address
- 2775 Cruse Rd
Ste 1603
Lawrenceville, GA 30044-7140 - Phone
- (770) 872-0521
- Fax
- (770) 872-0521
- NPI assigned
- Jun 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Humphrey Wedey
- Title
- Ceo/President
- Phone
- (770) 872-0521
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2775 Cruse Rd
Ste 1603
Lawrenceville, GA 30044-7140
Mailing address
2775 Cruse Rd
Ste 1603
Lawrenceville, GA 30044-7140
Phone (770) 872-0521
National Provider Directory
National Provider DirectoryLocations
2775 Cruse Rd
Ste 1603
Lawrenceville, GA 30044
Phone (404) 933-9170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276646400000",
"number": "1275854002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 CRUSE RD",
"address_2": "STE 1603",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447140",
"telephone_number": "770-872-0521",
"fax_number": "770-872-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 CRUSE RD",
"address_2": "STE 1603",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447140",
"telephone_number": "770-872-0521",
"fax_number": "770-872-0521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA MEDICAL EQUIPMENT & SUPPLY CO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A",
"authorized_official_last_name": "WEDEY",
"authorized_official_first_name": "HUMPHREY",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "770-872-0521"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.