Bretts Shoes and Vanity Fair

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

000065 Issued in GA

Legal business name

BRETTS SHOES AND VANITY FAIR

Doing business as

bretts shoes

Practice address

1600 McFarland Ave
Rossville, GA 30741-2266

Phone

(706) 866-9972

Fax

(706) 866-9972

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tony Brett Buchanan

Title

Owner

Phone

(706) 866-9972

Specialties & licenses 1

Addresses

Other names 1

• bretts shoes Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1356410062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MCFARLAND AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307412266",
            "telephone_number": "706-866-9972",
            "fax_number": "706-866-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MCFARLAND AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307412266",
            "telephone_number": "706-866-9972",
            "fax_number": "706-866-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETTS SHOES AND VANITY FAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-866-9972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "000065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bretts shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Blackburn, LCSW
• Norma Jean Bocanegra
• Morgan Janan Bradford, RN
• Steven Joe Bradley, D. O.
• Beverly H Brady
• Emily Breanna Brock, CADC1
• John D Bruce Jr., CADCII
• Deborah Kay Buffington
• Sarah Andrews Burkhart, PT, DPT
• Cassidie Butler

• Durable Medical Equipment & Medical Supplies in Rossville, GA
• Providers in Rossville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.