Booty Brush LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOOTY BRUSH LLC

Practice address

7610 Stafford Rd
Charleston, SC 29406-4020

Phone

(803) 336-3181

NPI assigned

Oct 17, 2025

Organization subpart

No

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

Authorized official

Name

Rafael Flores

Title

Owner

Phone

(843) 478-5447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1972470771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 STAFFORD RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294064020",
            "telephone_number": "803-336-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 STAFFORD RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294064020",
            "telephone_number": "803-336-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTY BRUSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-478-5447"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haela Booth-Howe, MS, RD, LD
• Alexander Tyler Booth, MD
• Amanda Booth, MS, RD
• Nancy K Boothby, RD, LD
• Taylor Boothe, PHARMD
• Loraine Elizabeth Booze, PA-C
• Sarah Boozer
• Bor South Carolina Inc
• Jeffrey J Borckardt, PHD
• Brian Francis Bord, D.C.

• Durable Medical Equipment & Medical Supplies in Charleston, SC
• Providers in Charleston, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.