Bradshaw Home Medical Equipment LLC.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

20102224 Issued in AZ

Legal business name

BRADSHAW HOME MEDICAL EQUIPMENT LLC.

Practice address

9350 E Valley Rd
Ste C.
Prescott Valley, AZ 86314-2328

Phone

(928) 775-8282

Fax

(928) 775-8869

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Keller

Title

Owner/President

Phone

(928) 775-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1790741569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E VALLEY RD",
            "address_2": "STE C.",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142328",
            "telephone_number": "928-775-8282",
            "fax_number": "928-775-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E VALLEY RD",
            "address_2": "STE C.",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142328",
            "telephone_number": "928-775-8282",
            "fax_number": "928-775-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSHAW HOME MEDICAL EQUIPMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "928-775-8282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "20102224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022261",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Bour, MS RD
• Sadie Jo Bouwens
• Jennifer D Bowen, RN
• Andrea Christine Boyce, MS, LPC
• Patricia Boyer
• Bradshaw Mountain Diagnostic Laboratory Inc
• Bradshaw Mountain Family Dental
• Bradshaw Mountain Family Dental Group PC
• Robert Dallas Branstrator, DDS
• David R Briant, RNP

• Oxygen Equipment & Supplies (DME) in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.