Rebbekah Davis

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0035334 Issued in TX

Practice address

801 E Walker St
Breckenridge, TX 76424-3745

Phone

(254) 559-2345

Fax

(254) 559-9200

NPI assigned

Mar 2, 2015

Last updated

May 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mineral Wells Medical Supply, Inc

  • Oxygen Equipment & Supplies (DME)
  • Mineral Wells, TX
  • NPI 1740205657
  Authorized official Same address or phone
• Mineral Wells Medical Supply, Inc

  dba Breckenridge Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Breckenridge, TX
  • NPI 1740657105
  Authorized official Same address or phone

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1710379664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1152",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760681152",
            "telephone_number": "940-325-2706",
            "fax_number": "940-325-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WALKER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764243745",
            "telephone_number": "254-559-2345",
            "fax_number": "254-559-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REBBEKAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0035334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Lynn Campbell, MPT
• Childress County Hospital District (Villa Haven Health and Rehabililitation Center)
• Trinity Cone, PT, DPT
• Carol Lynn Copelin, RN FNP-BC
• Jeffery Davis, PT
• Aaron Sam Dickinson, PTA
• Lauren Dye
• Nancy A Edens, PA
• Susan Fergeson, SLP
• Brooklynde Parks Garrison, FNP-BC

• Oxygen Equipment & Supplies (DME) in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.