Organization Active NPI

Professional DME Inc

  • Durable Medical Equipment & Medical Supplies
  • McKinney, TX
National Provider Identifier
1508898016
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000462 Issued in TX
Legal business name
PROFESSIONAL DME INC
Doing business as
GRACE PROFESSIONAL DME INC
Practice address
1720 Bray Central Dr Ste 100D
McKinney, TX 75069-8207
Phone
(682) 273-0025
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Bruce Stroud
Title
Ceo
Phone
(682) 273-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000462 TX Primary

Addresses

Primary practice location

1720 Bray Central Dr Ste 100D
McKinney, TX 75069-8207

Mailing address

1720 Bray Central Dr Ste 100D
McKinney, TX 75069-8207
Phone (682) 273-0025

Other names 1

  • GRACE PROFESSIONAL DME INC Doing business as

National Provider Directory

National Provider Directory

Locations

5616 SW Green Oaks Blvd
Ste E
Arlington, TX 76017
Phone (817) 483-2221

1720 Bray Central Dr
Ste 100D
McKinney, TX 75069
Phone (682) 273-0025

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1508898016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 BRAY CENTRAL DR STE 100D",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750698207",
            "telephone_number": "682-273-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BRAY CENTRAL DR STE 100D",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750698207",
            "telephone_number": "682-273-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-273-0025"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE PROFESSIONAL DME INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRACE PROFESSIONAL DME INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.