Organization Active NPI

Medvast Medical Solutions, LLC

  • Customized Equipment (DME)
  • Tupelo, MS
National Provider Identifier
1619860756
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MEDVAST MEDICAL SOLUTIONS, LLC
Practice address
499 Gloster Creek VLG Ste BC-14
Tupelo, MS 38801-4600
Phone
(662) 305-1533
Fax
(662) 305-1533
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Mr. Frank Brumfield
Title
Owner
Phone
(312) 464-1384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste BC-14
Tupelo, MS 38801-4600

Mailing address

499 Gloster Creek VLG Ste BC-14
Tupelo, MS 38801-4600
Phone (662) 305-1533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251006001330 MS DME Supplier - Medical Supply Company 3779089982 Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory

Locations

499 Gloster Creek Vlg
Ste BC14
Tupelo, MS 38801
Phone (662) 305-1533

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1619860756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE BC-14",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-305-1533",
            "fax_number": "662-305-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE BC-14",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014600",
            "telephone_number": "662-305-1533",
            "fax_number": "662-305-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVAST MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BRUMFIELD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-464-1384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.