GLB Diabetic Shoes LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GLB DIABETIC SHOES LLC

Practice address

55 Pearl St
Cuthbert, GA 39840-5910

Phone

(229) 209-6909

Fax

(678) 317-9319

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Gregory V BruceNPI 1184259277

Title

Owner

Phone

(912) 308-4087

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Varneal Bruce

  • Durable Medical Equipment & Medical Supplies
  • Cuthbert, GA
  • NPI 1184259277
  NPD Authorized official

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1407477185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WATERSTONE CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314059487",
            "telephone_number": "912-308-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PEARL ST",
            "city": "CUTHBERT",
            "state": "GA",
            "postal_code": "398405910",
            "telephone_number": "229-209-6909",
            "fax_number": "678-317-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLB DIABETIC SHOES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-308-4087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Fowler, OTR-L, M.ED., MBA
• Sarah Fulford
• Abdollatif Saleh Ghiathi, D.O.
• Mary Gibbs
• Cynthia Gibson
• Gary Nell Glover
• Darla Wiggins Hartzog, MCD, CCC-SLP
• Norma Hall Hayes
• Angel M Hill
• Hospital Authority of Randolph County

• Durable Medical Equipment & Medical Supplies in Cuthbert, GA
• Providers in Cuthbert, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.