Organization Active NPI

P B R Inc

  • Durable Medical Equipment & Medical Supplies
  • Spirit Lake, IA
National Provider Identifier
1891733200
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
P B R INC
Practice address
1310 18TH St
Suite B
Spirit Lake, IA 51360-1150
Phone
(712) 336-1052
Fax
(712) 336-1057
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Wally J Tschopp, RPH
Title
Owner
Phone
(712) 728-2165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X IA

Addresses

Primary practice location

1310 18TH St
Suite B
Spirit Lake, IA 51360-1150

Mailing address

PO Box 28
Hartley, IA 51346-0028
Phone (712) 728-2165

Other names 1

  • MED-EQUIP Doing business as

National Provider Directory

National Provider Directory

Locations

1310 18th St
Ste B
Spirit Lake, IA 51360
Phone (712) 336-1052

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1891733200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513460028",
            "telephone_number": "712-728-2165",
            "fax_number": "712-728-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 18TH ST",
            "address_2": "SUITE B",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601150",
            "telephone_number": "712-336-1052",
            "fax_number": "712-336-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P B R INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "TSCHOPP",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-728-2165",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-EQUIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.