Bulrush Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103740 Issued in CA

Legal business name

BULRUSH MEDICAL SUPPLY

Practice address

1776 Laguna St
#308
Concord, CA 94520-2981

Phone

(925) 429-4738

Fax

(866) 887-1625

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stanley Uchegbu

Title

Accounts Executive

Phone

(888) 485-7874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1629259759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 VILLAGE PKWY",
            "address_2": "SUITE A",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682488",
            "telephone_number": "888-485-7874",
            "fax_number": "866-887-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 LAGUNA ST",
            "address_2": "#308",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202981",
            "telephone_number": "925-429-4738",
            "fax_number": "866-887-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULRUSH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "UCHEGBU",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "ACCOUNTS EXECUTIVE",
        "authorized_official_telephone_number": "888-485-7874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Concord, CA
• Providers in Concord, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.