Organization Active NPI

Urological Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
National Provider Identifier
1528386109
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20110317000206 FL DME Supplier - Medical Supply Company 0143402834 Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.