Organization Active NPI

Brandon GT Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1356350607
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312689 Issued in FL
Legal business name
BRANDON GT INC
Practice address
5415 NW 74TH Ave
Miami, FL 33166-4225
Phone
(305) 805-3076
Fax
(305) 805-3077
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Amalio Joaguin Herrera, N/A
Title
President
Phone
(305) 805-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312689 FL Primary

Addresses

Primary practice location

5415 NW 74TH Ave
Miami, FL 33166-4225

Mailing address

5415 NW 74TH Ave
Miami, FL 33166-4225
Phone (305) 805-3076

National Provider Directory

National Provider Directory

Locations

5415 NW 74th Ave
Miami, FL 33166
Phone (305) 805-3076

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356350607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664225",
            "telephone_number": "305-805-3076",
            "fax_number": "305-805-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664225",
            "telephone_number": "305-805-3076",
            "fax_number": "305-805-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON GT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "AMALIO",
        "authorized_official_middle_name": "JOAGUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-805-3076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.