NPIMap

Organization Active NPI

Body Tech, Inc

  • Customized Equipment (DME)
  • Bremen, AL
National Provider Identifier
1710039714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BODY TECH, INC
Practice address
8951 County Road 109
Bremen, AL 35033
Phone
(256) 287-2870
Fax
(256) 287-2871
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gaylon Ponder
Title
President
Phone
(256) 287-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

8951 County Road 109
Bremen, AL 35033

Mailing address

PO Box 125
Bremen, AL 35033-0125
Phone (256) 287-2870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710039714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "BREMEN",
            "state": "AL",
            "postal_code": "350330125",
            "telephone_number": "256-287-2870",
            "fax_number": "256-287-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 COUNTY ROAD 109",
            "city": "BREMEN",
            "state": "AL",
            "postal_code": "35033",
            "telephone_number": "256-287-2870",
            "fax_number": "256-287-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY TECH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "GAYLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-287-2870"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, AL

Sources for this page

  • 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.