Brown'S Shoe Fit Co. #58

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROWN'S SHOE FIT CO. #58

Practice address

1716 N Baltimore St
Kirksville, MO 63501-2485

Phone

(660) 665-4062

Fax

(660) 665-4062

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Roy Edward Tiff

Title

Manager/Owner

Phone

(660) 665-4062

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1356580427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 N BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012485",
            "telephone_number": "660-665-4062",
            "fax_number": "660-665-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 N BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012485",
            "telephone_number": "660-665-4062",
            "fax_number": "660-665-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S SHOE FIT CO. #58",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "TIFF",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "660-665-4062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L Brewer, D.O.
• Tobin Brewer
• Benjamin Briney, ATC
• Elizabeth Briney, MS, LPC
• Tricia Kay Brown, PH.D.
• Edward Glenn Browning, D.O.
• Braunson Donathon Brownsberger
• Penny L. Brummer, PTA
• Lillian Jean Bruner, NP-C
• Gary L Bruning, DO

• Durable Medical Equipment & Medical Supplies in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.