Albrook Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALBROOK MEDICAL, INC.

Practice address

5889 S Williamson Blvd
Suite 1405
Port Orange, FL 32128-7134

Phone

(386) 761-0911

Fax

(386) 761-0915

NPI assigned

Oct 1, 2013

Organization subpart

No

Name

Mr. Bryan Keith Padgett

Title

Owner, President

Phone

(386) 451-6089

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2013.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1487081840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD",
            "address_2": "SUITE 1405",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287134",
            "telephone_number": "386-761-0911",
            "fax_number": "386-761-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD",
            "address_2": "SUITE 1405",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287134",
            "telephone_number": "386-761-0911",
            "fax_number": "386-761-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBROOK MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "386-451-6089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.