Redbird Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REDBIRD MEDICAL SUPPLY, INC.

Practice address

12050 Tama Run LN
Darlington, WI 53530-9627

Phone

(608) 776-3184

Fax

(608) 776-3987

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tracy Louis Wiegel

Title

President

Phone

(608) 776-3184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1831386937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 TAMA RUN LN",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535309627",
            "telephone_number": "608-776-3184",
            "fax_number": "608-776-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 TAMA RUN LN",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535309627",
            "telephone_number": "608-776-3184",
            "fax_number": "608-776-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBIRD MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "WIEGEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-776-3184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Alan Osterday, DDS
• Patricia Lynn Ottoway, COTA
• Sarah Pfeifer, RN
• Gina Marie Pitz, PHARM.D.
• Brittany Lynn Pusateri, MSW
• Michelle L. Reisen-Garvey, PA
• Stephani M Rickard
• Michael Edward Robiolio, M. D.
• Michele A. Roelli, MD
• Reagan Roelli, CF-SLP

• All providers in Darlington, WI
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.