Brosco International Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0038660 Issued in TX

Legal business name

BROSCO INTERNATIONAL INC

Doing business as

Saltom Medicals

Practice address

925 N Bryan Belt Line Rd Ste 105
Mesquite, TX 75149-2541

Phone

(972) 329-5555

Fax

(972) 329-0008

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John T Maniyatt

Title

President

Phone

(972) 329-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saltom Medicals Doing business as

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1508882317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N BRYAN BELT LINE RD STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492541",
            "telephone_number": "972-329-5555",
            "fax_number": "972-692-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N BRYAN BELT LINE RD STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492541",
            "telephone_number": "972-329-5555",
            "fax_number": "972-329-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROSCO INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "MANIYATT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-329-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0038660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7735450001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saltom Medicals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.