BREG, INC. (NPI# 1508301763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301763 |
| Entity Type | Organization |
| Organization Name | BREG, INC. |
| Practice Address |
2630 Courthouse Cir Suite A Flowood MS 39232-9562 |
| Mailing Address |
5204 Tennyson Pkwy Suite 100 Plano TX 75024-7141 |
| Practice Telephone | 8003210607 |
| Mailing Telephone | 2145010304 |
| Mailing Fax Number | 2145010299 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | BRADFORD LEE (PRESIDENT/CEO) |
| Authorized Official Telephone | 7607955440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379929 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 640 Parkside Avenue, Suite Ll-101, Brooklyn, NY 11226-8414 | 2020-06-01 |
| 1740780501 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 3001 Irwin Rd Ste E2, Mount Laurel, NJ 08054-4636 | 2018-02-19 |
| 1871038034 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 1860 W University Dr, Suite 103, Tempe, AZ 85281-3247 | 2016-12-27 |
| 1942675137 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 25528 74th Ave S, Kent, WA 98032-6014 | 2015-12-14 |
| 1699142307 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 2452 S Trenton Way, Unit C, Denver, CO 80231-7627 | 2015-08-28 |
| 1891787594 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 2885 Loker Ave E, Carlsbad, CA 92010-6626 | 2005-08-18 |
| 1831733591 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 1 W Boylston St Ste 201, Worcester, MA 01605-1274 | 2019-11-05 |
| 1730554924 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 655 W Grand Ave, Unit 205, Elmhurst, IL 60126-1060 | 2015-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BREG, INC, | 2885 Loker Avenue East, Carlsbad, CA 92020-6626 |
| System for Award Management (SAM) Entities | BREG, INC. | 2885 Loker Ave E, Carlsbad, CA 92010-6626 |
| Indiana Business Entities | BREG, INC. | 2885 Locker Ave E, Carlsbad, CA 92010 |
| Street Address |
2630 COURTHOUSE CIR SUITE A |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841651 | Handicapped Mobility Inc | Prosthetic/Orthotic Supplier | 2627 Courthouse Cir, Flowood, MS 39232-9521 | 2005-12-13 |
| 1366425746 | Procare Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1050 N Flowood Dr, Ste C1, Flowood, MS 39232-9738 | 2005-11-21 |
| 1205027844 | Procare Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 1050 N Flowood Dr, C-1, Flowood, MS 39232-9738 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1881219046 | Color Me Jazzy | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-560, Ridgeland, MS 39157-4861 | 2020-06-13 |
| 1154945418 | Dream Hair Care | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste E, Hattiesburg, MS 39402-1006 | 2020-06-02 |
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1275155749 | Fearless Beauty Company | Prosthetic/Orthotic Supplier | 611 S Pear Orchard Rd # 771, Ridgeland, MS 39157-4836 | 2020-05-07 |
| 1982225850 | Luxury Locs | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste D, Hattiesburg, MS 39402-1006 | 2020-05-02 |
| 1518587914 | Bmb Medical Beautique | Prosthetic/Orthotic Supplier | 6515 Goodman Rd Ste 300, Olive Branch, MS 38654-7333 | 2020-04-26 |
| 1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
| 1083234462 | Shear Beauty 31 Hair Studio | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-573, Ridgeland, MS 39157-4861 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.