Bemes Home Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18988121 Issued in MO

Legal business name

BEMES HOME MEDICAL INC

Practice address

810 Sunpark Dr
Fenton, MO 63026-5388

Phone

(636) 343-1100

Fax

(636) 343-1102

NPI assigned

Oct 18, 2006

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen B Bagwell

Title

Owner/Ceo

Phone

(636) 343-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1972684579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SUNPARK DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265388",
            "telephone_number": "636-343-1100",
            "fax_number": "636-343-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SUNPARK DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265388",
            "telephone_number": "636-343-1100",
            "fax_number": "636-343-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEMES HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "636-343-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "18988121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626196000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "196991",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fenton, MO
• Providers in Fenton, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.