Acg Medical Supply Incorporated

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0040125 Issued in TX

Legal business name

ACG MEDICAL SUPPLY INCORPORATED

Practice address

2101 Harwood Rd Ste 128
Bedford, TX 76021-4700

Phone

(972) 463-0737

NPI assigned

Nov 21, 2014

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Gampher

Title

President

Phone

(972) 463-0737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Acg Medical Supply Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
  • NPI 1609532753

  1759402266

  Same PAC ID
• Acg Medical Supply Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Rowlett, TX
  • NPI 1972506350

  1759402266

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Acg Medical Supply Incorporated3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Acg Medical Supply Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
  • NPI 1609532753
  NPD tax ID
• Acg Medical Supply Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Rowlett, TX
  • NPI 1972506350
  NPD tax ID

Locations

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1548667447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HARWOOD RD STE 128",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HARWOOD RD STE 128",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214700",
            "telephone_number": "972-463-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACG MEDICAL SUPPLY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "GAMPHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-463-0737"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0040125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bedford, TX
• Providers in Bedford, 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 Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.