Behrens Southern Comfort Medical Supply

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

BEHRENS SOUTHERN COMFORT MEDICAL SUPPLY

Doing business as

Coastal Medical

Practice address

2902 Avenue R 1/2
Galveston, TX 77550-7744

Phone

(409) 621-1167

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Larry Moorman

Title

Owner

Phone

(281) 740-7625

Specialties & licenses 2

Addresses

Other names 1

• Coastal Medical Doing business as

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1376279646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 AVENUE R 1/2",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 AVENUE R 1/2",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507744",
            "telephone_number": "409-621-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHRENS SOUTHERN COMFORT MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-740-7625"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gage Bebak, DO
• Sorin Gheorghe Beca, MD
• Jefferson Thomas Bedell II, MD
• Virginia Beth Bee, MD
• Behrens Residential Elevators and Lifts, LLC
• Behrens Southern Comfort Medical Supply, LLC
• Ligia M. Belalcazar, M.D.
• Brennan Levi Bell, DPT
• Mutmainnah Bello
• Yakubu Bene-Alhasan, MD, MPH

• Nursing Care Agency in Galveston, TX
• Providers in Galveston, TX by specialty
• Nursing Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.