Organization Active NPI

Boden Fitness Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Winchester, VA
National Provider Identifier
1457957144
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Jordan Tran, MDNPI 1730417338
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.