Organization Active NPI

Breg, Inc.

  • Prosthetic/Orthotic Supplier
  • Brooklyn, NY
National Provider Identifier
1497379929
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BREG, INC.
Practice address
640 Parkside Avenue
Suite LL-101
Brooklyn, NY 11226-8414
Phone
(718) 875-8754
Fax
(800) 454-9615
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dave Mowry
Title
Ceo
Phone
(877) 848-0706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

640 Parkside Avenue
Suite LL-101
Brooklyn, NY 11226-8414

Mailing address

2382 Faraday Avenue
Suite 300
Carlsbad, CA 92008-7220
Phone (760) 795-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201111000497 NY DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 7315130523 Practice locations: Brooklyn, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Breg, Inc.640 Parkside Avenue, Brooklyn, NY 11226-1506(718) 875-8754 Heat & Cold Applications|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2020

National Provider Directory

National Provider Directory
Tax ID family
Breg Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2452 S Trenton Way
Unit C
Denver, CO 80231
Phone (303) 751-2150

655 W Grand Ave
Ste 205
Elmhurst, IL 60126
Phone (630) 415-3155

640 Parkside Ave
Ste LL101
Brooklyn, NY 11226
Phone (718) 875-8754

640 Parkside Ave
Brooklyn, NY 11226
Phone (212) 867-1111

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1497379929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVENUE",
            "address_2": "SUITE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087220",
            "telephone_number": "760-795-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PARKSIDE AVENUE",
            "address_2": "SUITE LL-101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112268414",
            "telephone_number": "718-875-8754",
            "fax_number": "800-454-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "MOWRY",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-848-0706"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.