BBR Sole ,Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

20177786 Issued in AZ

Legal business name

BBR SOLE ,INC.

Doing business as

FOOT SOLUTIONS

Practice address

1981 N Pebble Creek Pkwy
C-5
Goodyear, AZ 85395-2543

Phone

(623) 536-6676

Fax

(623) 536-6686

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lynelle Rae Reynolds

Title

Vice President

Phone

(623) 536-6676

Specialties & licenses 1

Addresses

Other names 1

• FOOT SOLUTIONS Doing business as

Tax ID family

BBR Sole Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• BBR Sole, Inc.

  • Prosthetic/Orthotic Supplier
  • Goodyear, AZ
  • NPI 1881088623
  NPD tax ID

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1508056763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY",
            "address_2": "C-5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952543",
            "telephone_number": "623-536-6676",
            "fax_number": "623-536-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY",
            "address_2": "C-5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952543",
            "telephone_number": "623-536-6676",
            "fax_number": "623-536-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBR SOLE ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "LYNELLE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "623-536-6676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "20177786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Franklin Baumgardner, D.C.
• Barbara Baumgardner, PHD, PMHNP-BC
• Jennifer Baumgardner, PHD
• Batrony Bazilme, MD, PA, SA-C
• Stephen Fils Bazilme, PA, SA-C
• BBR Sole, Inc.
• Bbritt Concierge Mobile Medicine
• BD Health & Wellness Solutions LLC
• Charles Lyman Beard III, LPC
• Beatus Management LLC

• Customized Equipment (DME) in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.