Active NPI
Medvast Medical Solutions, LLC
- Customized Equipment (DME)
- Tupelo, MS
National Provider Identifier
1619860756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251006001330 | MS | DME Supplier - Medical Supply Company | 3779089982 | Practice locations: Tupelo, MS |
National Provider Directory
National Provider DirectoryLocations
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.