Organization Active NPI

Med-Tech of Branson LLC

  • Durable Medical Equipment & Medical Supplies
  • Branson, MO
National Provider Identifier
1932210077
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
743126473 Issued in MO
Legal business name
MED-TECH OF BRANSON LLC
Practice address
2001 Hwy 248
Suite 5
Branson, MO 65616-3407
Phone
(417) 334-4272
Fax
(417) 334-5272
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Robert Dale RochellNPI 1477677532
Title
Owner/President
Phone
(580) 252-8164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 743126473 MO Primary

Addresses

Primary practice location

2001 Hwy 248
Suite 5
Branson, MO 65616-3407

Mailing address

1206 N Highway 81
Suite 61
Duncan, OK 73533-1729
Phone (580) 252-8164

Other identifiers 2

IdentifierTypeStateIssuer
196461OtherMOBLUE CROSS BLUE SHIELD
626176606MedicaidMO

National Provider Directory

National Provider Directory

Locations

1206 N Highway 81
Ste 61
Duncan, OK 73533
Phone (580) 252-8164

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1932210077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N HIGHWAY 81",
            "address_2": "SUITE 61",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331729",
            "telephone_number": "580-252-8164",
            "fax_number": "580-255-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HWY 248",
            "address_2": "SUITE 5",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163407",
            "telephone_number": "417-334-4272",
            "fax_number": "417-334-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-TECH OF BRANSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "ROCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "580-252-8164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "743126473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "196461",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626176606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.