Individual provider Active NPI

Gary A Mead

  • Transportation Broker
  • Klamath Falls, OR
National Provider Identifier
1861097826
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
BL001014 Issued in OR
Practice address
2526 Garden Ave
Klamath Falls, OR 97601-3548
Phone
(541) 205-5661
Fax
(541) 205-5694
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X BL001014 OR Primary

Addresses

Primary practice location

2526 Garden Ave
Klamath Falls, OR 97601-3548

Mailing address

2526 Garden Ave
Klamath Falls, OR 97601-3548
Phone (541) 205-5661

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bmt@basinmedicaltransportation.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BL001014ORMDTransportation Broker

Practice roles

OrganizationSpecialtyStatusNew patients
Basin Medical Transportation Transportation Broker CurrentSince Jul 2, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1861097826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 GARDEN AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013548",
            "telephone_number": "541-205-5661",
            "fax_number": "541-205-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 GARDEN AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013548",
            "telephone_number": "541-205-5661",
            "fax_number": "541-205-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "GARY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "OR",
            "license": "BL001014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bmt@basinmedicaltransportation.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2526 Garden Ave",
            "city": "Klamath Falls",
            "state": "OR",
            "country_code": "US",
            "postal_code": "976013548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.