Organization Active NPI

Gulf Coast Rehab Equipment

  • Customized Equipment (DME)
  • Birmingham, AL
National Provider Identifier
1932290707
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
145 Issued in AL
Legal business name
GULF COAST REHAB EQUIPMENT
Practice address
2712 7TH Ave S
Birmingham, AL 35233-3406
Phone
(251) 666-1055
Fax
(251) 666-8661
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Walter Johnson
Title
Manager of Credentialand Licensure
Phone
(314) 447-7515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 145 AL Primary

Addresses

Primary practice location

2712 7TH Ave S
Birmingham, AL 35233-3406

Mailing address

805 Brook St Ste 402
Rocky Hill, CT 06067-3431
Phone (314) 447-7500

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Rehab Equipment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2712 7th Ave S
Birmingham, AL 35233
Phone (205) 380-3113

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1932290707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BROOK ST STE 402",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673431",
            "telephone_number": "314-447-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333406",
            "telephone_number": "251-666-1055",
            "fax_number": "251-666-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST REHAB EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MANAGER OF CREDENTIALAND LICENSURE",
        "authorized_official_telephone_number": "314-447-7515"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.