NPIMap

Organization Active NPI

PBR Inc

  • Durable Medical Equipment & Medical Supplies
  • Spencer, IA
National Provider Identifier
1790723237
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PBR INC
Practice address
714 S Grand Ave
Suite B
Spencer, IA 51301-5730
Phone
(712) 262-2771
Fax
(712) 262-2776
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wally J Tschopp, PH
Title
Owner
Phone
(712) 928-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

714 S Grand Ave
Suite B
Spencer, IA 51301-5730

Mailing address

PO Box 28
Hartley, IA 51346-0028
Phone (712) 928-3300

Other names 1

  • MED-EQUIP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med-Equip3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

714 S Grand Ave
Ste B
Spencer, IA 51301
Phone (712) 262-2771

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790723237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513460028",
            "telephone_number": "712-928-3300",
            "fax_number": "712-728-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S GRAND AVE",
            "address_2": "SUITE B",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015730",
            "telephone_number": "712-262-2771",
            "fax_number": "712-262-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSCHOPP",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-928-3300",
        "authorized_official_credential": "PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-EQUIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.