Bande Enterprises, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BANDE ENTERPRISES, INC.

Practice address

130 Industrial Way
Fayetteville, GA 30215-6814

Phone

(770) 460-0612

Fax

(770) 460-5114

NPI assigned

Jan 19, 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

Dr. Delbert Lewin Carroll, PHD

Title

Vice President Operations

Phone

(770) 460-0612

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396725818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDUSTRIAL WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302156814",
            "telephone_number": "770-460-0612",
            "fax_number": "770-460-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDUSTRIAL WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302156814",
            "telephone_number": "770-460-0612",
            "fax_number": "770-460-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DELBERT",
        "authorized_official_middle_name": "LEWIN",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "770-460-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272731A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halimatou Balde, RBT
• Laura Baldwin, PT, DPT
• Virginia Lynn Balkcom
• Sarah M Ball, P.A
• Tereasa A Ballay, MD
• Samantha Denise Banks, CSFA
• Tayla Banks, PA-C
• Terry Marie Banks, M.D.
• Dadrie Freda Baptiste, MD
• Natalie Baptiste

• Oxygen Equipment & Supplies (DME) in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• 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.