Organization Active NPI

GBM DME, LLC

  • Durable Medical Equipment & Medical Supplies
  • Waterford, MI
National Provider Identifier
1548769409
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GBM DME, LLC
Practice address
5499 Perry Dr Ste B
Waterford, MI 48329-4827
Phone
(248) 666-0508
Fax
(248) 666-0504
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Chad Parr
Title
VP Sales & Operations
Phone
(248) 666-0508

Specialties & licenses 1

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

Addresses

Primary practice location

5499 Perry Dr Ste B
Waterford, MI 48329-4827

Mailing address

5499 Perry Dr Ste B
Waterford, MI 48329-4827
Phone (248) 666-0508

Other identifiers 1

IdentifierTypeStateIssuer
332B00000XOtherMIDME

National Provider Directory

National Provider Directory

Locations

5499 Perry Dr
Ste B
Waterford, MI 48329
Phone (248) 666-0508

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1548769409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5499 PERRY DR STE B",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294827",
            "telephone_number": "248-666-0508",
            "fax_number": "248-666-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5499 PERRY DR STE B",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294827",
            "telephone_number": "248-666-0508",
            "fax_number": "248-666-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBM DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PARR",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "VP SALES & OPERATIONS",
        "authorized_official_telephone_number": "248-666-0508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "332B00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.