Bglg22, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BGLG22, LLC

Doing business as

STL Amramp

Practice address

1414 Sunburst Dr
O Fallon, MO 63366-3490

Phone

(314) 409-4292

Fax

(636) 527-5835

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Brian R RandolphNPI 1639553654

Title

Executive Director

Phone

(314) 409-4292

Specialties & licenses 1

Addresses

Other names 1

• STL Amramp Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Randolph

  • Durable Medical Equipment & Medical Supplies
  • O'Fallon, MO
  • NPI 1639553654
  NPD (past) Authorized official

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1770027898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663490",
            "telephone_number": "314-409-4292",
            "fax_number": "636-527-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663490",
            "telephone_number": "314-409-4292",
            "fax_number": "636-527-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGLG22, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-409-4292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STL Amramp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Best Care Dental (Dr. Maryana Kirolos)
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• Rebecca A Bethel, P.T.
• Jennifer Bettale, BCBA
• Breonna Beuzard
• Kunjal Bhakta, PHARM.D.
• Eldad Shaul Bialecki, M.D.
• Debra Wallish Bianchi, LCSW
• Ethan Michael Biehl, DDS
• Amber Bill, MA PLPC

• Durable Medical Equipment & Medical Supplies in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.