Organization Active NPI

Brett W. Hanna

Doing business as Trinity Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Trinity, TX
National Provider Identifier
1508835794
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRETT W. HANNA
Doing business as
Trinity Medical Supply
Practice address
110 E Brantley Rd Ste 6
Box 2177
Trinity, TX 75862-2177
Phone
(936) 594-5460
Fax
(936) 594-9082
NPI assigned
Mar 17, 2006
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mrs. Shelly Hanna
Title
Billing
Phone
(936) 594-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

110 E Brantley Rd Ste 6
Box 2177
Trinity, TX 75862-2177

Mailing address

PO Box 2177
110 E. Brantley, Ste. 6
Trinity, TX 75862-2177
Phone (936) 594-5460

Other identifiers 3

IdentifierTypeStateIssuer
011023101MedicaidTX
530548OtherTXBLUE CROSS BLUE SHIELD TX
016993001MedicaidTX

Other names 1

  • Trinity Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1508835794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2177",
            "address_2": "110 E. BRANTLEY, STE. 6",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758622177",
            "telephone_number": "936-594-5460",
            "fax_number": "936-594-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BRANTLEY RD STE 6",
            "address_2": "BOX 2177",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758622177",
            "telephone_number": "936-594-5460",
            "fax_number": "936-594-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT W. HANNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "936-594-5460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011023101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "530548",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016993001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinity, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.