Active NPI
Square Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
National Provider Identifier
1548933567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SQUARE MEDICAL SUPPLY LLC
- Practice address
- 1806 Memorial Blvd Ste D
Murfreesboro, TN 37129-1507 - Phone
- (615) 809-2035
- Fax
- (615) 956-6981
- NPI assigned
- Jul 26, 2021
- 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
- Ehis Murphy
- Title
- Manager
- Phone
- (615) 809-2035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1806 Memorial Blvd Ste D
Murfreesboro, TN 37129-1507
Mailing address
1806 Memorial Blvd Ste D
Murfreesboro, TN 37129-1507
Phone (615) 809-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211102002003 | TN | DME Supplier - Medical Supply Company | 6709274244 | Practice locations: Murfreesboro, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Square Medical Supply LLC | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Suppli… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1806 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 809-2035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628726400000",
"number": "1548933567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 MEMORIAL BLVD STE D",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291507",
"telephone_number": "615-809-2035",
"fax_number": "615-956-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 MEMORIAL BLVD STE D",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291507",
"telephone_number": "615-809-2035",
"fax_number": "615-956-6981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SQUARE MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-26",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "EHIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "615-809-2035"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.