PRO-MED MEDICAL SUPPLY NPI 1023177813

NPI Information

  • NPI: 1023177813
  • Provider Name: PRO-MED MEDICAL SUPPLY
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 1313 N HILLS BLVD
    SUITE 301
    NORTH LITTLE ROCK, AR
    ZIP 72114
  • Phone: (501) 353-2610

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NPI Details

PRO-MED MEDICAL SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in North Little Rock, AR. PRO-MED MEDICAL SUPPLY NPI is 1023177813. The provider is registered as an organization entity type.

The provider's business location address is:

1313 N HILLS BLVD
SUITE 301
NORTH LITTLE ROCK, AR
ZIP 72114-757
Phone: (501) 353-2610
Fax: (501) 353-2621

The provider's authorized official is Slade Brown .
The authorized official title is Owner and has the following contact phone number (501) 353-2610.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 9/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies7573ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
149903OTHERARKANSASBLUE CROSS BLUE SHIELD
2156282716MEDICAIDARKANSAS
35229750001MEDICARE ID-TYPE UNSPECIFIEDARKANSASMEDICARE PROVIDER ID

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: 11/21/2025

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