Organization Active NPI

Braemar Consultants Inc

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1588746200
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0054002 Issued in TX
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

Updated by the provider on Sep 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
151418402MedicaidTX
151418401MedicaidTX

Other names 1

  • CVI Medical Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.