GBL Enterprises, LLC

Key facts

NPI

1609054477

Entity type

Organization (NPI type 2)

Primary specialty

Prosthetic/Orthotic Supplier 335E00000X

Legal business name

GBL ENTERPRISES, LLC

Practice address

1131 E Highland Ave Ste 2
Phoenix, AZ 85014-3639

Phone

(602) 234-9568

Fax

(602) 957-2562

NPI assigned

Feb 4, 2008

Organization subpart

No

Authorized official

Name

Stephen McNamee, CP, BOCO NPI 1912092610

Title

Owner

Phone

(602) 667-7827

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

Member of 1

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

• Artisan Prosthetics LLC Prosthetic/Orthotic Supplier · Phoenix, AZ · NPI 1265616643
  NPD member Member Of

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Mitchell McNamee, CP BOCO Prosthetist · Phoenix, AZ · NPI 1912092610
  NPD Authorized official
• Barbara Goldstein, CO, CFOM Prosthetic/Orthotic Supplier · Phoenix, AZ · NPI 1942409487
  NPD (past) PROSTHETIC/ORTHOTIC SUPPLIER
• Kaitlin Quan, CPO Prosthetist · Phoenix, AZ · NPI 1063020972
  NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• BARBARA'S MASTECTOMY BOUTIQUE Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2024.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1609054477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E HIGHLAND AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143639",
            "telephone_number": "602-234-9568",
            "fax_number": "602-957-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E HIGHLAND AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143639",
            "telephone_number": "602-234-9568",
            "fax_number": "602-957-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MCNAMEE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-667-7827",
        "authorized_official_credential": "CP, BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARBARA'S MASTECTOMY BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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