BENCOR MEDICAL LLC NPI 1285611012

NPI Information

  • NPI: 1285611012
  • Provider Name: BENCOR MEDICAL LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEASTERN NEB PROS
  • Address: 4210 COLUMBIA RD
    BLDG 6
    MARTINEZ, GA
    ZIP 30907
  • Phone: (800) 620-6327

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NPI Details

BENCOR MEDICAL LLC is a durable medical equipment medical supplies in Martinez, GA. 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. BENCOR MEDICAL LLC NPI is 1285611012. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Neb Pros.

The provider's business location address is:

4210 COLUMBIA RD
BLDG 6
MARTINEZ, GA
ZIP 30907-401
Phone: (800) 620-6327
Fax: (706) 869-7229

The provider's authorized official is John R Huss .
The authorized official title is President and has the following contact phone number (770) 601-9199.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 5/21/2010.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15345940002MEDICARE NSC
2040918183AMEDICAIDGEORGIA
3DE2533MEDICAIDSOUTH CAROLINA

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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