Brisben Med, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

76085 Issued in CA

Legal business name

BRISBEN MED, INC.

Practice address

530 Commerce Ave
Ste. E
Palmdale, CA 93551-3881

Phone

(800) 239-2947

NPI assigned

Jul 22, 2015

Last updated

Jul 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PRIME HOLDINGS INTL, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Flor Orellana

Title

Ceo/President

Phone

(800) 239-2947

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Axis Medical Technologies, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1396120093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913809090",
            "telephone_number": "800-239-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COMMERCE AVE",
            "address_2": "STE. E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513881",
            "telephone_number": "800-239-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISBEN MED, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HOLDINGS INTL, INC.",
        "enumeration_date": "2015-07-22",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "FLOR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "800-239-2947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "76085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA HOME MEDICAL DEVICE RETAIL LICENSE",
            "identifier": "76085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Medical Technologies, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Evany Brewton-Hill
• Lenora Briggs, LMFT
• Michael S Briggs, RPH
• Bright Rehab Solutions, Inc.
• Glorika Jeanae Briley
• Maribel Briseno
• Cassandra Edisa Brito, BA
• Melissa Marie Brittain, RDMS
• Taylor Annette Britton
• Penny Jo Broadway

• Durable Medical Equipment & Medical Supplies in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.