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BROOKS MEDICAL SUPPLY INC. NPI 1013035179


NPI Information

NPI: 1013035179
Provider Name: BROOKS MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
800 JOE BROOKS DR
JONESBORO, AR
ZIP 72401
Phone: (870) 932-4597
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BROOKS MEDICAL SUPPLY, INC. is a durable medical equipment medical supplies in Jonesboro, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BROOKS MEDICAL SUPPLY, INC. NPI is 1013035179. The provider is registered as an organization entity type.

The provider's business location address is:

800 JOE BROOKS DR
JONESBORO, AR
ZIP 72401-133
Phone: (870) 932-4597
Fax: (870) 932-0656

The provider's authorized official is Mike L. Brooks .
The authorized official title is Vp and has the following contact phone number (870) 932-4597.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 12/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148452OTHERARKANSASARKANSAS BC BS
20406490001MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
3121945716MEDICAIDARKANSAS
40406490001MEDICARE NSCARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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