BRAINERD MEDICAL SUPPLY INC NPI 1205852860

NPI Information

NPI: 1205852860
Provider Name: BRAINERD MEDICAL SUPPLY, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
206 W WASHINGTON ST
BRAINERD, MN
ZIP 56401
Phone: (218) 829-2100
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BRAINERD MEDICAL SUPPLY, INC is a durable medical equipment medical supplies in Brainerd, MN. 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. BRAINERD MEDICAL SUPPLY, INC NPI is 1205852860. The provider is registered as an organization entity type.

The provider's business location address is:

206 W WASHINGTON ST
BRAINERD, MN
ZIP 56401-922
Phone: (218) 829-2100
Fax: (218) 829-8943

The provider's authorized official is Steven Wiewel .
The authorized official title is President and has the following contact phone number (218) 829-2100.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/22/2020.

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	332B00000X	Durable Medical Equipment & Medical Supplies		4598796	MINNESOTA	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	Other Provider Identifier Issuer
1	81238BR	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	8214066	OTHER	MINNESOTA	MEDICA
3	120979	OTHER	MINNESOTA	UCARE

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: 5/5/2024

NPI Synchronization or Removal

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