BWDC Medical Equipment Co.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

203000105 Issued in IL

Legal business name

BWDC MEDICAL EQUIPMENT CO.

Practice address

123 N Locust St
Centralia, IL 62801-5303

Phone

(618) 532-3045

Fax

(618) 533-0572

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Wesley N Breeze, RPH

Title

Owner Pres

Phone

(618) 532-3045

Specialties & licenses 1

Addresses

Other names 1

• Byrd Watson Medical Equip Co Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

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

Member of 1

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

• Byrd Watson Drug Co

  • Pharmacy
  • Centralia, IL
  • NPI 1700876422

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Byrd Watson Drug Co

  • Pharmacy
  • Centralia, IL
  • NPI 1700876422

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1629068341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N LOCUST ST",
            "address_2": "PO BOX 1747",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013242",
            "telephone_number": "618-532-3045",
            "fax_number": "618-533-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N LOCUST ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628015303",
            "telephone_number": "618-532-3045",
            "fax_number": "618-533-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWDC MEDICAL EQUIPMENT CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "BREEZE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "618-532-3045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203000105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byrd Watson Medical Equip Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookside Manor LLC
• Brittany Brown
• Christanna Marie Brown, BSN, RNFA, CNOR
• Linda D Bryan
• William Edward Buckett, PHYSICIAN ASSISTANT
• Blake Byers
• Byrd Watson Drug Co
• Chrissie Noelle Carroll, DT
• Evan Carter
• Josye Lynn Carter, BA

• Oxygen Equipment & Supplies (DME) in Centralia, IL
• Providers in Centralia, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.