NPIMap

Organization Active NPI

Byram Healthcare Centers, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1730558115
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BYRAM HEALTHCARE CENTERS, INC.
Practice address
3793 S State St
Salt Lake City, UT 84115-4828
Phone
(801) 716-8797
Fax
(866) 478-9348
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Perry A Bernocchi
Title
Ceo
Phone
(714) 895-6416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 9623310-1703 UT

Addresses

Primary practice location

3793 S State St
Salt Lake City, UT 84115-4828

Mailing address

3793 S State St
Salt Lake City, UT 84115-4828
Phone (801) 716-8797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170624000205 UT DME Supplier - Medical Supply Company 1557488897 Practice locations: Salt Lake City, UT

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Byram Healthcare Centers, Inc.3793 S State St, Salt Lake City, UT 84115-4828(801) 716-8797 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Orthoses: Off-The-Shelf|Penile Pumps|Ostomy Supp… Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Byram Healthcare Ctr in23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1730558115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154828",
            "telephone_number": "801-716-8797",
            "fax_number": "866-478-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154828",
            "telephone_number": "801-716-8797",
            "fax_number": "866-478-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRAM HEALTHCARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "BERNOCCHI",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-895-6416"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "9623310-1703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.