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BRADLEY G. MAURER NPI 1720042369


NPI Information

NPI: 1720042369
Provider Name: BRADLEY G. MAURER

Doing Business As: FREEDOM MEDICAL SUPPLY & EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2470 E. PEBBLE RD
#115
HENDERSON, NV
ZIP 89074
Phone: (702) 386-9997
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BRADLEY G. MAURER is a durable medical equipment medical supplies in Henderson, NV. 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. BRADLEY G. MAURER NPI is 1720042369. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Medical Supply & Equipment.

The provider's business location address is:

2470 E. PEBBLE RD
#115
HENDERSON, NV
ZIP 89074-092
Phone: (702) 386-9997
Fax: (702) 228-9996

The provider's authorized official is Bradley Gene Maurer .
The authorized official title is Owner and has the following contact phone number (702) 386-9997.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 6/18/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies635527296NEVADAYes

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
1100504117MEDICAIDNEVADA
25188410001MEDICARE ID-TYPE UNSPECIFIEDNEVADA

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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