Kern Medical Supply, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KERN MEDICAL SUPPLY, LLC

Practice address

2520 Pegasus Dr
Bakersfield, CA 93308-6807

Phone

(661) 393-4877

Fax

(661) 393-7339

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Marie HughesNPI 1639489602

Title

Medical Director

Phone

(661) 393-4877

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Hughes, M.D.

  • Psychiatry Physician
  • Sherman, TX
  • NPI 1639489602
  NPD (past) Authorized official

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1669844650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PEGASUS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086807",
            "telephone_number": "661-393-4877",
            "fax_number": "661-393-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PEGASUS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086807",
            "telephone_number": "661-393-4877",
            "fax_number": "661-393-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-393-4877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kern Medical Center
• Kern Medical Center
• Kern Medical Center
• Kern Medical Center Auxillary
• Kern Medical Centre
• Kern Medical Surgery Center, LLC
• Kern Medical Transport Inc.
• Kern Nephrology Medical Group
• Kern Neurosurgical Institute, Inc
• Kern Physicians Medical Group

• All providers in Bakersfield, CA
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.