Active NPI
Gulf Biomechanical Laboratory LLC
- Prosthetic/Orthotic Supplier
- Houston, TX
National Provider Identifier
1346263209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 101035
- Legal business name
- GULF BIOMECHANICAL LABORATORY LLC
- Practice address
- 2101 Crawford
Suite 203
Houston, TX 77002 - Phone
- (713) 739-1911
- Fax
- (713) 793-7588
- NPI assigned
- Jul 25, 2006
- Last updated
- Apr 12, 2019
- 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
- Anthony E Myers
- Title
- Owner/Manager
- Phone
- (210) 495-3399
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | 101035 | TX | Primary |
Addresses
Primary practice location
2101 Crawford
Suite 203
Houston, TX 77002
Mailing address
4045 E Southcross Blvd
San Antonio, TX 78222-3636
Phone (210) 495-3999
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530754 | Other | TX | BLUE CROSS O & P |
| 156086401 | Medicaid | TX | |
| 156086402 | Medicaid | TX | |
| 530204 | Other | TX | BLUE CROSS DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930007634 | TX | DME Supplier - Prosthetic Personnel | 3779601554 | Practice locations: Houston, TX |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- San Antonio, TX
- NPI 1619924826
3779601554
-
- Prosthetic/Orthotic Supplier
- McAllen, TX
- NPI 1639192529
3779601554
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Gulf Biomechanical Lab LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Gulf Biomechanical Laboratory LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Laredo, TX
- NPI 1568485456
-
- Prosthetic/Orthotic Supplier
- San Antonio, TX
- NPI 1619924826
-
- Prosthetic/Orthotic Supplier
- McAllen, TX
- NPI 1639192529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555027200000",
"number": "1346263209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E SOUTHCROSS BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223636",
"telephone_number": "210-495-3999",
"fax_number": "210-495-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CRAWFORD",
"address_2": "SUITE 203",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77002",
"telephone_number": "713-739-1911",
"fax_number": "713-793-7588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF BIOMECHANICAL LABORATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2019-04-12",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "210-495-3399"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "101035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS O & P",
"identifier": "530754",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156086401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156086402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS DME",
"identifier": "530204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Maria Kristine Gule-Monroe, M.D.
- Gulf Advanced Diagnostics Sleep Center Inc.
- Gulf Anesthesia Associates PA
- Gulf Bank Medical Center
- Gulf Bank Pharmacy
- Gulf Central Medical
- Gulf Coast Anesthesia, PLLC
- Gulf Coast Back and Spine Injury, PLLC
- Gulf Coast Behavioral Services
- Gulf Coast Billing & Coding Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.