Organization Active NPI

Leddy Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Abilene, TX
National Provider Identifier
1619088762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEDDY MEDICAL SUPPLY, INC
Practice address
1049 Industrial Blvd
Suite 100
Abilene, TX 79602-7931
Phone
(325) 676-7329
Fax
(325) 676-7378
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brent Leddy
Title
President/Ceo
Phone
(325) 676-7329

Specialties & licenses 1

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

Addresses

Primary practice location

1049 Industrial Blvd
Suite 100
Abilene, TX 79602-7931

Mailing address

PO Box 3495
Abilene, TX 79604-3495
Phone (325) 676-7329

National Provider Directory

National Provider Directory

Locations

1049 Industrial Blvd
Ste 100
Abilene, TX 79602
Phone (325) 676-7329

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619088762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3495",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043495",
            "telephone_number": "325-676-7329",
            "fax_number": "325-676-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 INDUSTRIAL BLVD",
            "address_2": "SUITE 100",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027931",
            "telephone_number": "325-676-7329",
            "fax_number": "325-676-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDDY MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDDY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "325-676-7329"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.