Rebuild Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REBUILD MEDICAL INC

Practice address

500 Interstate Park Dr Ste 532
Montgomery, AL 36109-5487

Phone

(334) 320-5305

NPI assigned

Nov 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brian Humphrey

Title

President

Phone

(334) 320-5305

Specialties & licenses 1

Addresses

Other names 1

• Rebuild Medical Inc Doing business as

Locations

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510358400000",
    "number": "1447763578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 PRAIRIE LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173413",
            "telephone_number": "334-320-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INTERSTATE PARK DR STE 532",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095487",
            "telephone_number": "334-320-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-11",
        "last_updated": "2017-11-11",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-320-5305",
        "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": [
        {
            "organization_name": "Rebuild Medical Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Montgomery, AL
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; 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.