Pivotal Med Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PIVOTAL MED SUPPLY LLC

Practice address

2010 E Continental Blvd Ste F
Southlake, TX 76092-9734

Phone

(888) 838-1558

NPI assigned

Aug 8, 2023

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noah Seitel

Title

Operating Manager

Phone

(817) 823-9669

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1871276725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E CONTINENTAL BLVD STE F",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929734",
            "telephone_number": "866-510-0040",
            "fax_number": "833-423-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E CONTINENTAL BLVD STE F",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929734",
            "telephone_number": "888-838-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "SEITEL",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "817-823-9669"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Southlake, TX
• Providers in Southlake, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.