Active NPI
Wellspect Inc
- Durable Medical Equipment & Medical Supplies
- Pensacola, FL
National Provider Identifier
1366030173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryMember 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.