Active NPI
Boden Fitness Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BODEN FITNESS DURABLE MEDICAL EQUIPMENT
- Practice address
- 3038 Valley Ave
Winchester, VA 22601-2637 - Phone
- (540) 508-0651
- Fax
- (540) 508-0841
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Tran, MD
- Title
- Owner
- Phone
- (540) 508-0651
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3038 Valley Ave
Winchester, VA 22601-2637
Mailing address
4 Weems LN # 128
Winchester, VA 22601-3602
Phone (540) 508-4853
National Provider Directory
National Provider DirectoryLocations
3038 Valley Ave
Winchester, VA 22601
Phone (540) 508-0651
4 Weems Ln
Winchester, VA 22601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Winchester, VA
- NPI 1730417338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1457957144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WEEMS LN # 128",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013602",
"telephone_number": "540-508-4853",
"fax_number": "540-585-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3038 VALLEY AVE",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012637",
"telephone_number": "540-508-0651",
"fax_number": "540-508-0841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODEN FITNESS DURABLE MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-508-0651",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
- Blue Ridge Radiation Oncology
- Blue Ridge Womens Care PC
- Richard Blum
- Catherine L Boatright, OTR/L
- Ramona Jeanne Bock, MSN, FNP-C
- Boden Fitness System LLC
- Boden Health National Gout Centers, LLC
- Boden Health System LLC (Virginia Integrative Medical)
- Boden Health Urgent Care
- Body Elite Physical Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.