Organization Active NPI

Bo David Brown

  • Durable Medical Equipment & Medical Supplies
  • Lewisville, TX
National Provider Identifier
1295791028
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0067910 Issued in TX
Legal business name
BO DAVID BROWN
Practice address
211 S. Stemmons Freeway
Suite F
Lewisville, TX 75067-4593
Phone
(972) 434-1700
Fax
(972) 221-0099
NPI assigned
Apr 21, 2006
Organization subpart
Yes
Parent organization
MOBILITY HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Bo David Brown
Title
President
Phone
(972) 434-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0067910 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0067910 TX

Addresses

Primary practice location

211 S. Stemmons Freeway
Suite F
Lewisville, TX 75067-4593

Mailing address

PO Box 293701
Lewisville, TX 75029-3701
Phone (972) 434-1700

Other identifiers 2

IdentifierTypeStateIssuer
144319401MedicaidTX
144321001MedicaidTX

Other names 1

  • Mobility Healthcare Doing business as

National Provider Directory

National Provider Directory
Part of
Mobility Health Inc

Locations

211 S Stemmons Fwy
Ste F
Lewisville, TX 75067
Phone (214) 668-1256

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1295791028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293701",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750293701",
            "telephone_number": "972-434-1700",
            "fax_number": "972-221-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S. STEMMONS FREEWAY",
            "address_2": "SUITE F",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674593",
            "telephone_number": "972-434-1700",
            "fax_number": "972-221-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BO DAVID BROWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILITY HEALTH, INC",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-434-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0067910",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0067910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144319401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144321001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.