Active NPI
P B R Inc
- Durable Medical Equipment & Medical Supplies
- Spirit Lake, IA
National Provider Identifier
1891733200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.