BCP Ventures LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BCP VENTURES LLC

Practice address

2617 Aero Dr
Grand Prairie, TX 75052-7637

Phone

(972) 602-9850

Fax

(972) 602-9852

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael N. Coffman Jr., ATP, RRTS

Title

President/Ceo

Phone

(972) 602-9850

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative Seating and Mobility Doing business as

Locations

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1942504972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 AERO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527637",
            "telephone_number": "972-602-9850",
            "fax_number": "972-602-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 AERO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527637",
            "telephone_number": "972-602-9850",
            "fax_number": "972-602-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCP VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-602-9850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ATP, RRTS"
    },
    "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283042401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Seating and Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.