Broad Express, Incorporated

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0092486 Issued in TX

Legal business name

BROAD EXPRESS, INCORPORATED

Practice address

2604 W Marshall Dr
Suite 104
Grand Prairie, TX 75051-3555

Phone

(972) 264-4448

Fax

(972) 642-7886

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Babatunde Joseph Adebiyi

Title

President

Phone

(972) 264-4448

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BROAD EXPRESS MEDICAL SUPPLY AND EQUIPMENT Doing business as

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1295877645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W MARSHALL DR",
            "address_2": "SUITE 104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513555",
            "telephone_number": "972-264-4448",
            "fax_number": "972-642-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W MARSHALL DR",
            "address_2": "SUITE 104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513555",
            "telephone_number": "972-264-4448",
            "fax_number": "972-642-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD EXPRESS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "ADEBIYI",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-264-4448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0092486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184098501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184098502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0000532440",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROAD EXPRESS MEDICAL SUPPLY AND EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridges to Crossroads
• Brightcare Home Health, LLC
• Brightcare Home Health, LLC
• Brigitte E. Robinson, D.D.S., P.C.
• Antonio Brizuela Aguilar
• Broad Minds Health and Wellness Services
• Ramaica Brandi Broadnax, RN
• Joe Edward Broadway III, OD
• Rachel Brohammer, MA, LPC
• Shirita Bronston, DVM

• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.