Southeastern Medical Brokers, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHEASTERN MEDICAL BROKERS, INC.

Practice address

1739 Tullie Cir NE
Atlanta, GA 30329-2305

Phone

(404) 355-7333

Fax

(404) 355-7300

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Brian Byler

Title

Vice President

Phone

(706) 855-8988

Specialties & licenses 1

Addresses

Other names 1

• Integrity Medical Doing business as

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1851661797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 TULLIE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292305",
            "telephone_number": "404-355-7333",
            "fax_number": "404-355-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 TULLIE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292305",
            "telephone_number": "404-355-7333",
            "fax_number": "404-355-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL BROKERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "BYLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "706-855-8988"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Gynecologic Oncology 2 LLC
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• Southeastern Interventional Pain ASC LLC
• Southeastern Interventional Pain Associates LLC
• Southeastern Pain Ambulatory Surgery Center
• Southeastern Pain Specialists, P.C.
• Southeastern Radiology Assoc LLC
• Southeastern Rheumatology Alliance
• Southeastern Surgical Center

• All providers in Atlanta, GA
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.