Organization Active NPI

Bracit

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, GA
National Provider Identifier
1376654236
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRACIT
Practice address
621 Washington St SW
Suite a-4
Gainesville, GA 30501-8567
Phone
(770) 297-1388
Fax
(770) 297-1389
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Alan Scott Davenport
Title
President
Phone
(770) 297-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA Primary

Addresses

Primary practice location

621 Washington St SW
Suite a-4
Gainesville, GA 30501-8567

Mailing address

621 Washington St SW
Suite a-4
Gainesville, GA 30501-8567
Phone (770) 297-1388

National Provider Directory

National Provider Directory

Locations

621 Washington St SW
Ste A4
Gainesville, GA 30501
Phone (770) 297-1388

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376654236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 WASHINGTON ST SW",
            "address_2": "SUITE A-4",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018567",
            "telephone_number": "770-297-1388",
            "fax_number": "770-297-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 WASHINGTON ST SW",
            "address_2": "SUITE A-4",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018567",
            "telephone_number": "770-297-1388",
            "fax_number": "770-297-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-297-1388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.