NPIMap

Organization Active NPI

Byram Healthcare Centers, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bothell, WA
National Provider Identifier
1609024397
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BYRAM HEALTHCARE CENTERS, INC.
Practice address
19820 N Creek Pkwy Ste 100
Bothell, WA 98011-8227
Phone
(800) 456-3500
Fax
(877) 354-4795
NPI assigned
Sep 5, 2008
Organization subpart
Yes
Parent organization
BYRAM HOLDINGS I, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Perry A Bernocchi
Title
Ceo & President
Phone
(732) 302-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

19820 N Creek Pkwy Ste 100
Bothell, WA 98011-8227

Mailing address

PO Box 277596
Atlanta, GA 30384-7596
Phone (770) 422-5516

Other identifiers 8

IdentifierTypeStateIssuer
1609024397MedicaidMT
808148700MedicaidID
9062209MedicaidWA
9062217MedicaidWA
630716MedicaidHI
DME03066FMedicaidCA
MS332WAMedicaidAK
9062225MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930086493 WA DME Supplier - Medical Supply Company 1557488897 Practice locations: Bothell, WA

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

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
Byram Healthcare Centers, Inc19820 N Creek Pkwy, Bothell, WA 98011-8227(800) 394-5685 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Orthoses: Off-The-Shelf|Penile Pumps|Ostomy Supp… Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Byram Healthcare Ctr in23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

19820 North Creek Pkwy
Bothell, WA 98011

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609024397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277596",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847596",
            "telephone_number": "770-422-5516",
            "fax_number": "770-590-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 N CREEK PKWY STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118227",
            "telephone_number": "800-456-3500",
            "fax_number": "877-354-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRAM HEALTHCARE CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BYRAM HOLDINGS I, INC.",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERNOCCHI",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "732-302-1600"
    },
    "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": "1609024397",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808148700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9062209",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9062217",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630716",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03066F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS332WA",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9062225",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.