Organization Active NPI

Airlife Medical LLC

  • Oxygen Equipment & Supplies (DME)
  • Auburndale, FL
National Provider Identifier
1568464295
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1312636 Issued in FL
Legal business name
AIRLIFE MEDICAL LLC
Practice address
205 Main St
Auburndale, FL 33823-3403
Phone
(863) 965-4410
Fax
(863) 965-4412
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mr. Richard Frank BrauckmullerNPI 1659384501
Title
General Manager
Phone
(863) 965-4410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1312636 FL Primary

Addresses

Primary practice location

205 Main St
Auburndale, FL 33823-3403

Mailing address

205 Main St
Auburndale, FL 33823-3403
Phone (863) 965-4410

Other identifiers 1

IdentifierTypeStateIssuer
030897800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930056210 FL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory Therapist 2163633959 Practice locations: Auburndale, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Airlife Medical LLC205 Main St, Auburndale, FL 33823-3403(863) 965-4410 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutche… Does not accept assignmentParticipating since Jun 6, 2005

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

205 Main St
Auburndale, FL 33823
Phone (863) 965-4410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1568464295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233403",
            "telephone_number": "863-965-4410",
            "fax_number": "863-965-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233403",
            "telephone_number": "863-965-4410",
            "fax_number": "863-965-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLIFE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "BRAUCKMULLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "863-965-4410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030897800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.