Active NPI
Express Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
National Provider Identifier
1366801490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EXPRESS MEDICAL SUPPLY LLC
- Practice address
- 7410 New la Grange Rd Ste 206
Louisville, KY 40222-4871 - Phone
- (402) 234-2003
- Fax
- (402) 234-2004
- NPI assigned
- Feb 17, 2016
- Last updated
- Oct 19, 2026
- 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
- John Bulterman
- Title
- Chief Financial Officer
- Phone
- (402) 234-2003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NE | Primary |
Addresses
Primary practice location
7410 New la Grange Rd Ste 206
Louisville, KY 40222-4871
Mailing address
7410 New la Grange Rd Ste 206
Louisville, KY 40222-4871
Phone (402) 234-2003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200604002041 | KY | DME Supplier - Medical Supply Company | 4385065069 | Practice locations: Louisville, KY |
National Provider Directory
National Provider DirectoryLocations
4630 Shepherdsville Rd
Louisville, KY 40218
Phone (402) 234-2003
7410 New La Grange Rd
Ste 206
Louisville, KY 40222
1254 Sand Hill Rd
Ste 1
Louisville, NE 68037
Phone (402) 234-2003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1366801490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 NEW LA GRANGE RD STE 206",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224871",
"telephone_number": "402-234-2003",
"fax_number": "402-234-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 NEW LA GRANGE RD STE 206",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224871",
"telephone_number": "402-234-2003",
"fax_number": "402-234-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-17",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "BULTERMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "402-234-2003"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.