NPIMap

Organization Active NPI

Brevard Hma HME, LLC

  • Durable Medical Equipment & Medical Supplies
  • Rockledge, FL
National Provider Identifier
1689693624
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
127 Issued in FL
Legal business name
BREVARD HMA HME, LLC
Practice address
185 Barton Blvd
Suite C
Rockledge, FL 32955-2703
Phone
(321) 632-4663
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. Timothy Parry, ESQ
Title
Sr VP and General Counsel
Phone
(239) 598-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 127 FL Primary

Addresses

Primary practice location

185 Barton Blvd
Suite C
Rockledge, FL 32955-2703

Mailing address

185 Barton Blvd
Suite C
Rockledge, FL 32955-2703
Phone (321) 632-4663

Other identifiers 1

IdentifierTypeStateIssuer
951695600MedicaidFL

Other names 1

  • Wuesthoff Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1689693624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BARTON BLVD",
            "address_2": "SUITE C",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552703",
            "telephone_number": "321-632-4663",
            "fax_number": "321-632-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BARTON BLVD",
            "address_2": "SUITE C",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552703",
            "telephone_number": "321-632-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD HMA HME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951695600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wuesthoff Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.