Bradley G. Maurer

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

635527296 Issued in NV

Legal business name

BRADLEY G. MAURER

Practice address

2470 E. Pebble Rd
#115
Henderson, NV 89074-7092

Phone

(702) 386-9997

Fax

(702) 228-9996

NPI assigned

Apr 12, 2006

Organization subpart

No

Name

Mr. Bradley Gene MaurerNPI 1588505374

Title

Owner

Phone

(702) 386-9997

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

• Bradley G Maurer

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1588505374
  NPD Authorized official

• Freedom Medical Supply & Equipment Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2010.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1720042369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 E. PEBBLE RD",
            "address_2": "#115",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747092",
            "telephone_number": "702-386-9997",
            "fax_number": "702-228-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 E. PEBBLE RD",
            "address_2": "#115",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747092",
            "telephone_number": "702-386-9997",
            "fax_number": "702-228-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY G. MAURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-386-9997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "635527296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504117",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Medical Supply & Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Bracken
• Michaela Brackenbury
• Braden Partners LP
• Braden Sorensen OD PLLC
• Sky Bradford
• Mie'Shawn Bradley
• Zachery J Bradley, PT, DPT
• John E Brady
• Elisabeth Braga
• Harneel Singh Brah, MD

• All providers in Henderson, NV
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.