Organization Active NPI

Graymont Equipment Distribution, LLC

Doing business as Graymont Medical

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
National Provider Identifier
1568036721
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GRAYMONT EQUIPMENT DISTRIBUTION, LLC
Doing business as
Graymont Medical
Practice address
2214 W Hubbard St
Chicago, IL 60612-1614
Phone
(312) 291-9305
Fax
(312) 896-1436
NPI assigned
May 13, 2021
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GRAYMONT EQUIPMENT DISTRIBUTION, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Bryce Beasley
Title
Ceo
Phone
(312) 291-9305

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2214 W Hubbard St
Chicago, IL 60612-1614

Mailing address

2214 W Hubbard St
Chicago, IL 60612-1614
Phone (312) 291-9305

Other names 1

  • Graymont Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Graymont Equipment Distribution LLC2 organizations share this tax ID, including this one
Part of
Graymont Equipment Distribution LLC

Other organizations with this tax ID 1

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

Locations

1622 W Carroll Ave
Chicago, IL 60612
Phone (312) 291-9305

2214 W Hubbard St
Chicago, IL 60612
Phone (312) 291-9305

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1568036721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121614",
            "telephone_number": "312-291-9305",
            "fax_number": "312-896-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121614",
            "telephone_number": "312-291-9305",
            "fax_number": "312-896-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYMONT EQUIPMENT DISTRIBUTION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAYMONT EQUIPMENT DISTRIBUTION, LLC",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-291-9305"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graymont Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graymont Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.