Active NPI
Physicians Home Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Bryan, TX
National Provider Identifier
1578560587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PHYSICIANS HOME MEDICAL EQUIPMENT, INC.
- Practice address
- 1127 E Villa Maria Rd
Bryan, TX 77802-2445 - Phone
- (979) 846-3831
- NPI assigned
- Jul 5, 2005
- 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
- Mrs. Susie Stephenson
- Title
- President
- Phone
- (979) 846-3831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1127 E Villa Maria Rd
Bryan, TX 77802-2445
Mailing address
PO Box 6931
Bryan, TX 77805-6931
Phone (979) 846-3831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114696-01 | Medicaid | TX | |
| 0913816-01 | Medicaid | TX |
Other names 1
- Physicians Home Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002792 | TX | DME Supplier - Medical Supply Company | 7618097254 | Practice locations: Bryan, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Physicians Home Medical Equipment
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- College Station, TX
- NPI 1386722684
Locations
1127 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 846-3831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303689600000",
"number": "1578560587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6931",
"city": "BRYAN",
"state": "TX",
"postal_code": "778056931",
"telephone_number": "979-846-3831",
"fax_number": "979-691-8713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 E VILLA MARIA RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022445",
"telephone_number": "979-846-3831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HOME MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2011-04-25",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "SUSIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-846-3831",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114696-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0913816-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians Home Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.