Organization Active NPI

Express Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1366801490
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200604002041 KY DME Supplier - Medical Supply Company 4385065069 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.