Bold Air Respiratory Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BOLD AIR RESPIRATORY INC.

Practice address

1106B Industrial Pkwy
Brick, NJ 08724-2508

Phone

(732) 206-1600

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Bryan P Shields

Title

President

Phone

(732) 206-1600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679648190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106B INDUSTRIAL PKWY",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242508",
            "telephone_number": "732-206-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106B INDUSTRIAL PKWY",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242508",
            "telephone_number": "732-206-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD AIR RESPIRATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-206-1600"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0003925000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8354600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Bogan, MS, LCADC
• Joseph Peter Bogdan, MD
• William Jonathan Bogdon
• Susan Eileen Boggs, NP
• Kyle Bohn
• Lejla Bolevic
• Alexandra Nicole Bologno, NP
• Marisa Christine Bonamassa-Cimino, LAC
• Charles Alan Bond, DO
• Keerthana Reddy Bondugula

• Oxygen Equipment & Supplies (DME) in Brick, NJ
• Providers in Brick, NJ by specialty
• Oxygen Equipment & Supplies (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.