Triad of Alabama LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

782 Issued in AL

Legal business name

TRIAD OF ALABAMA LLC

Doing business as

Breathing Care Associates - Panama City

Practice address

2423 Martin Luther King Jr Blvd
Panama City, FL 32405-4405

Phone

(334) 794-5000

NPI assigned

May 16, 2006

Organization subpart

Yes

Parent organization

TRIAD OF ALABAMA LLCAs reported in NPPES

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

Authorized official

Name

Debbie Brewer

Title

Director, Provider Enrollment

Phone

(615) 465-7626

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Breathing Care Associates - Panama City Doing business as

Part of

Triad of Alabama LLC

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1740232982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1964",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021964",
            "telephone_number": "334-794-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054405",
            "telephone_number": "334-794-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD OF ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD OF ALABAMA LLC",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "AL",
            "license": "782",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026554300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941515",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathing Care Associates - Panama City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joey L Trantham, MD
• Jennifer L Trappe
• John Treglown
• Laura Trejo
• Hillary Trexler, M.ED.CFSLP
• Christina M Trickey
• Paul Tritsos, PSYD
• Lynn Marie Troncale, LPRN
• Troupe Vision of Florida, PLLC
• Carole J Truluck, CRNA

• Durable Medical Equipment & Medical Supplies in Panama City, FL
• Providers in Panama City, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.