BRYAN D. SIMMONS NPI 1174550149

NPI Information

NPI: 1174550149
Provider Name: BRYAN D. SIMMONS
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
555 S SHORELINE BLVD
SUITE 101
CORPUS CHRISTI, TX
ZIP 78401
Phone: (361) 887-9456
Get Directions

Bryan D. Simmons is a customized equipment durable medical equipment medical supplies in Corpus Christi, TX. Bryan D. Simmons NPI is 1174550149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

555 S SHORELINE BLVD
SUITE 101
CORPUS CHRISTI, TX
ZIP 78401-552
Phone: (361) 887-9456
Fax: (361) 887-7300

The enumeration date for this NPI number is 6/27/2006 and was last updated on 5/25/2013.

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
1	247200000X	Technician, Other		0053646	TEXAS	No
2	171WH0202X	Contractor	Home Modifications	0053646	TEXAS	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		0053646	TEXAS	No
4	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	0053646	TEXAS	Yes

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
1	154894302	MEDICAID	TEXAS
2	154894303	MEDICAID	TEXAS
3	4447160001	MEDICARE UPIN	TEXAS
4	154894301	MEDICAID	TEXAS
5	4447160001	MEDICARE NSC	TEXAS
6	154894304	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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