Organization Active NPI

Duratech Medical, Inc.

Doing business as Breg

  • Prosthetic/Orthotic Supplier
  • Murfreesboro, TN
National Provider Identifier
1821317520
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DURATECH MEDICAL, INC.
Doing business as
Breg
Practice address
1608 Williams Dr Ste 201
Murfreesboro, TN 37129-3195
Phone
(615) 599-7600
Fax
(800) 454-9615
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dave Mowry
Title
Ceo
Phone
(760) 795-5440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1608 Williams Dr Ste 201
Murfreesboro, TN 37129-3195

Mailing address

2382 Faraday Avenue
Suite 300
Carlsbad, CA 92008-7220
Phone (760) 795-5440

Other identifiers 2

IdentifierTypeStateIssuer
1821317520MedicaidTN
7100164790MedicaidKY

Other names 1

  • Breg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412001037 TN DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company 9537280789 Practice locations: Murfreesboro, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Duratech Medical, Inc.1608 Williams Dr, Murfreesboro, TN 37129-3195(615) 599-7600 Commodes, Urinals, Bedpans|Heat & Cold Applications|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Duratech Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1821317520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVENUE",
            "address_2": "SUITE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087220",
            "telephone_number": "760-795-5440",
            "fax_number": "214-501-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WILLIAMS DR STE 201",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293195",
            "telephone_number": "615-599-7600",
            "fax_number": "800-454-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURATECH MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "MOWRY",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-795-5440"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821317520",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100164790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Breg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.