Organization Active NPI

B.W.Medical Supply Co.,Inc.

  • Oxygen Equipment & Supplies (DME)
  • Baltimore, MD
National Provider Identifier
1811920820
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
R2278 Issued in MD
Legal business name
B.W.MEDICAL SUPPLY CO.,INC.
Practice address
6860 Reisterstown Rd
Baltimore, MD 21215-1428
Phone
(410) 602-7766
NPI assigned
Jul 10, 2006
Last updated
May 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Yan Feldblyum
Title
President
Phone
(410) 365-4408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X R2278 MD Primary

Addresses

Primary practice location

6860 Reisterstown Rd
Baltimore, MD 21215-1428

Mailing address

6860 Reisterstown Rd
Baltimore, MD 21215-1428
Phone (410) 602-7766

Other identifiers 3

IdentifierTypeStateIssuer
184840200MedicaidMD
9113509MedicaidVA
026668800MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040713 MD DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 0547380644 Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
B W Medical Supply Co Inc6860 Reisterstown Rd, Baltimore, MD 21215-1428(410) 602-7766 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Power)|Orthoses: Prefabricated (Non-Cu… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

6860 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 602-7766

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1811920820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151428",
            "telephone_number": "410-602-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151428",
            "telephone_number": "410-602-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.W.MEDICAL SUPPLY CO.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "FELDBLYUM",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-365-4408"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R2278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184840200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9113509",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026668800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.