Black Bag Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1312673 Issued in FL

Legal business name

BLACK BAG CORPORATION

Doing business as

Black Bag Medical Supply

Practice address

6822 NW 20TH Ave
Ft Lauderdale, FL 33309-1513

Phone

(954) 970-0004

Fax

(954) 970-9580

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Barnabae

Title

President

Phone

(954) 970-0004

Specialties & licenses 1

Addresses

Other names 1

• Black Bag Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376611558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 NW 20TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091513",
            "telephone_number": "954-970-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 NW 20TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091513",
            "telephone_number": "954-970-0004",
            "fax_number": "954-970-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BAG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNABAE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-970-0004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Bag Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Bissoon, PHARM D
• Fahima Hossain Bithy
• Jennifer Naomi Biton, LMHC
• BJ's Wholesale Club Inc.
• BJF Enterprises Inc
• Carl Robert Black, PHARMD
• Carol Ann Black, LMT
• Connor Black, DO
• Carolyn Blackwood Roberts
• Niccole L Blade, CNA

• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.