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BROAD EXPRESS INCORPORATED NPI 1295877645


NPI Information

NPI: 1295877645
Provider Name: BROAD EXPRESS, INCORPORATED

Doing Business As: BROAD EXPRESS MEDICAL SUPPLY AND EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2604 W MARSHALL DR
SUITE 104
GRAND PRAIRIE, TX
ZIP 75051
Phone: (972) 264-4448
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BROAD EXPRESS, INCORPORATED is a durable medical equipment medical supplies in Grand Prairie, TX. 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. BROAD EXPRESS, INCORPORATED NPI is 1295877645. The provider is registered as an organization entity type.
The provider Is Doing Business As Broad Express Medical Supply And Equipment.

The provider's business location address is:

2604 W MARSHALL DR
SUITE 104
GRAND PRAIRIE, TX
ZIP 75051-555
Phone: (972) 264-4448
Fax: (972) 642-7886

The provider's authorized official is Babatunde Joseph Adebiyi .
The authorized official title is President and has the following contact phone number (972) 264-4448.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/4/2011.


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 Supplies0092486TEXASYes

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
15835830001MEDICARE NSCTEXAS
2184098502MEDICAIDTEXAS
3184098501MEDICAIDTEXAS
40000532440OTHERTEXASBLUECROSS BLUESHIELD

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

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