Breathe Oxygen Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BREATHE OXYGEN SUPPLY, INC.

Doing business as

Breathe Oxygen & Medical Supply

Practice address

5967 SW 29TH St
Suite 260
Topeka, KS 66614-2537

Phone

(785) 272-0445

Fax

(785) 272-0227

NPI assigned

Oct 3, 2006

Last updated

Feb 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Clifford C Davis

Title

Director

Phone

(785) 272-0445

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Breathe Oxygen & Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1609960236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 SE FORBES AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666191446",
            "telephone_number": "785-272-0445",
            "fax_number": "785-272-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5967 SW 29TH ST",
            "address_2": "SUITE 260",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142537",
            "telephone_number": "785-272-0445",
            "fax_number": "785-272-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE OXYGEN SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "785-272-0445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "118099",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445520A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathe Oxygen & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Derek J Bremer

• Oxygen Equipment & Supplies (DME) in Topeka, KS
• Providers in Topeka, KS by specialty
• Oxygen Equipment & Supplies (DME) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.