Bespoke Medical Equipment & Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BESPOKE MEDICAL EQUIPMENT & SUPPLY LLC

Practice address

1135 W Cheltenham Ave Ste 7
Elkins Park, PA 19027-3001

Phone

(267) 978-4762

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Wanda Addison

Title

Owner/President

Phone

(267) 978-4762

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1356078281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W CHELTENHAM AVE STE 7",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273001",
            "telephone_number": "267-978-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W CHELTENHAM AVE STE 7",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273001",
            "telephone_number": "267-978-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE MEDICAL EQUIPMENT & SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "267-978-4762"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Elkins Park, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.