Active NPI
Braemar Consultants Inc
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1588746200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0054002
- Legal business name
- BRAEMAR CONSULTANTS INC
- Doing business as
- CVI Medical
- Practice address
- 11329 N Central Expwy
Dallas, TX 75243-6703 - Phone
- (214) 363-2289
- Fax
- (214) 363-2445
- NPI assigned
- Oct 20, 2006
- 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
- Mr. Michael Allen Coughlin
- Title
- President
- Phone
- (214) 363-2289
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0054002 | TX | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
11329 N Central Expwy
Dallas, TX 75243-6703
Mailing address
11329 N Central Expwy
Dallas, TX 75243-6703
Phone (214) 363-2289
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151418402 | Medicaid | TX | |
| 151418401 | Medicaid | TX |
Other names 1
- CVI Medical
National Provider Directory
National Provider DirectoryLocations
11613 N Central Expy
Ste 117
Dallas, TX 75243
Phone (214) 363-2289
11329 N Central Expy
Dallas, TX 75243
Phone (214) 363-2289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1588746200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11329 N CENTRAL EXPWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436703",
"telephone_number": "214-363-2289",
"fax_number": "214-363-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11329 N CENTRAL EXPWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436703",
"telephone_number": "214-363-2289",
"fax_number": "214-363-2445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAEMAR CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "COUGHLIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-363-2289",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0054002",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151418402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151418401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVI Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.