Active NPI
Bainmed LLC
- Durable Medical Equipment & Medical Supplies
- Thunderbolt, GA
National Provider Identifier
1780930628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BAINMED LLC
- Practice address
- 2612 Dogwood Ave Apt A7
Thunderbolt, GA 31404-3260 - Phone
- (912) 555-1212
- Fax
- (912) 555-1212
- NPI assigned
- Jul 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roderic L Bain
- Title
- Owner
- Phone
- (912) 555-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2612 Dogwood Ave Apt A7
Thunderbolt, GA 31404-3260
Mailing address
PO Box 5285
Savannah, GA 31414-5285
Phone (912) 555-1212
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343606400000",
"number": "1780930628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314145285",
"telephone_number": "912-555-1212",
"fax_number": "912-555-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 DOGWOOD AVE APT A7",
"city": "THUNDERBOLT",
"state": "GA",
"postal_code": "314043260",
"telephone_number": "912-555-1212",
"fax_number": "912-555-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAINMED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-30",
"last_updated": "2012-07-30",
"status": "A",
"authorized_official_last_name": "BAIN",
"authorized_official_first_name": "RODERIC",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-555-1212"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thunderbolt, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.