Active NPI
Urological Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Fort Myers, FL
National Provider Identifier
1528386109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UROLOGICAL SUPPLIES, INC.
- Practice address
- 9841 Bernwood Place Dr
Suite 130
Fort Myers, FL 33966-6516 - Phone
- (239) 985-9327
- Fax
- (239) 985-9614
- NPI assigned
- May 6, 2010
- Last updated
- Nov 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William P Stafford
- Title
- President
- Phone
- (239) 985-9327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
9841 Bernwood Place Dr
Suite 130
Fort Myers, FL 33966-6516
Mailing address
PO Box 301
Estero, FL 33929-0301
Phone (239) 985-9327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110317000206 | FL | DME Supplier - Medical Supply Company | 0143402834 | Practice locations: Fort Myers, FL |
National Provider Directory
National Provider DirectoryLocations
9841 Bernwood Place Dr
Ste 130
Fort Myers, FL 33966
Phone (239) 985-9327
9861 Bernwood Place Dr
Ste 175
Fort Myers, FL 33966
Phone (239) 985-9327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1528386109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301",
"city": "ESTERO",
"state": "FL",
"postal_code": "339290301",
"telephone_number": "239-985-9327",
"fax_number": "239-985-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9841 BERNWOOD PLACE DR",
"address_2": "SUITE 130",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666516",
"telephone_number": "239-985-9327",
"fax_number": "239-985-9614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGICAL SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-06",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-985-9327",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.