Organization Active NPI

Preston Macbeth, Inc.

Doing business as Brooslin Shoes

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
National Provider Identifier
1902084965
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRESTON MACBETH, INC.
Doing business as
Brooslin Shoes
Practice address
455 Sumner Ave
Springfield, MA 01108-2320
Phone
(413) 732-0465
Fax
(413) 739-6214
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Ms. Amy P Macbeth, C. PED.
Title
President
Phone
(413) 883-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

455 Sumner Ave
Springfield, MA 01108-2320

Mailing address

455 Sumner Ave
Springfield, MA 01108-2320
Phone (413) 732-0465

Other names 1

  • Brooslin Shoes Doing business as

National Provider Directory

National Provider Directory

Locations

455 Sumner Ave
Springfield, MA 01108
Phone (413) 732-0465

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1902084965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "413-732-0465",
            "fax_number": "413-739-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "413-732-0465",
            "fax_number": "413-739-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MACBETH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "MACBETH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-883-5757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C. PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooslin Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.