Bral Holdings LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRAL HOLDINGS LLC

Practice address

2057 N 200 E
Logan, UT 84341-5505

Phone

(435) 260-6171

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Bruce Lee

Title

Owner

Phone

(435) 260-6171

Specialties & licenses 1

Addresses

Other names 1

• RT MedMobile Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1497538334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 N 200 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843415505",
            "telephone_number": "435-260-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 N 200 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843415505",
            "telephone_number": "435-260-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-260-6171"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RT MedMobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Boyce, PT
• Anna Boyes
• Kay Bradford, PHD
• Kayce C Bradley
• Brady Carlen DDS LLC
• Shea Davin Brendel, LAT, ATC
• Ariana Brenes
• Amy Bresley, ATC, LAT
• Megan E Bressel, PT
• Bridge Utah Medical Group

• All providers in Logan, UT
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.