Organization Active NPI

Wellspect Inc

  • Durable Medical Equipment & Medical Supplies
  • Pensacola, FL
National Provider Identifier
1366030173
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELLSPECT INC
Practice address
125 W Romana St Ste 210
Pensacola, FL 32502-5848
Phone
(877) 456-3742
Fax
(866) 666-6250
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Ryan Dobrez
Title
Officer
Phone
(815) 341-9291

Specialties & licenses 1

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

Addresses

Primary practice location

125 W Romana St Ste 210
Pensacola, FL 32502-5848

Mailing address

1235 Friendship Rd Ste 205
Braselton, GA 30517-5626
Phone (877) 356-3742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712002465 FL DME Supplier - Medical Supply Company 9436574795 Practice locations: Pensacola, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

125 W Romana St
Ste 210
Pensacola, FL 32502
Phone (877) 456-3742

1235 Friendship Rd
Ste 205
Braselton, GA 30517
Phone (877) 456-3742

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1366030173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 FRIENDSHIP RD STE 205",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175626",
            "telephone_number": "877-356-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W ROMANA ST STE 210",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025848",
            "telephone_number": "877-456-3742",
            "fax_number": "866-666-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "DOBREZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "815-341-9291"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.