BREG, INC. (NPI# 1730554924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730554924 |
| Entity Type | Organization |
| Organization Name | BREG, INC. |
| Practice Address |
655 W Grand Ave Unit 205 Elmhurst IL 60126-1060 |
| Mailing Address |
5204 Tennyson Pkwy Suite 100 Plano TX 75024-7141 |
| Practice Telephone | 6304153155 |
| Mailing Telephone | 2145010300 |
| Mailing Fax Number | 2145010299 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | BRAD 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HME AND SERVICES PROVIDER LICENSE | 203.00185 | 01 |
| 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 |
| 1508301763 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Courthouse Cir, Suite A, Flowood, MS 39232-9562 | 2016-12-27 |
| 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 |
| 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 |
655 W GRAND AVE UNIT 205 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467788158 | Leah Jeanine Adamik | Behavioral Analyst | 655 W Grand Ave, Suite 100, Elmhurst, IL 60126-1060 | 2009-10-30 |
| 1013393016 | Blair Drewke | Behavioral Analyst | 655 W Grand Ave, Ste 100, Elmhurst, IL 60126-1060 | 2015-08-03 |
| 1063819662 | Kaitlin Bauer | Behavioral Analyst | 655 W Grand Ave, Suite 100, Elmhurst, IL 60126-1060 | 2014-11-25 |
| 1902137409 | Rehabtech Supply Corporation | Durable Medical Equipment & Medical Supplies | 655 W Grand Ave, Suite 100, Elmhurst, IL 60126-1060 | 2010-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1659704708 | Du Page Medical Group Ltd | Prosthetic/Orthotic Supplier | 133 E Brush Hill Rd, Ste 100, Elmhurst, IL 60126-5659 | 2013-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909517 | Matayah Love | Prosthetic/Orthotic Supplier | 5833 W Madison St, Chicago, IL 60644-3840 | 2020-10-15 |
| 1225653686 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1290 W Northwest Hwy, Palatine, IL 60067-1897 | 2020-06-11 |
| 1710508239 | Vivian Danielle Williams | Prosthetic/Orthotic Supplier | 940 N Monticello Ave # 1, Chicago, IL 60651-3949 | 2020-05-06 |
| 1265053136 | Dfined Beauty LLC | Prosthetic/Orthotic Supplier | 1507 E 53rd St # 835, Chicago, IL 60615-4573 | 2020-05-02 |
| 1134748767 | The Weave Luxe Bar | Prosthetic/Orthotic Supplier | 7315 Lemont Rd, Downers Grove, IL 60516-3807 | 2020-04-14 |
| 1245865245 | Ortheco LLC | Prosthetic/Orthotic Supplier | 3050 Montvale Dr Ste E, Springfield, IL 62704-4290 | 2020-03-10 |
| 1417515784 | Dionne Williams Group | Prosthetic/Orthotic Supplier | 6822 S Wood St, Chicago, IL 60636-3337 | 2019-06-03 |
| 1164080743 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 391 Quadrangle Dr Ste N4, Bolingbrook, IL 60440-3443 | 2019-05-30 |
| 1760047583 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 13500 Circle Dr Ste 202, Orland Park, IL 60462-1343 | 2019-05-07 |
| 1114580107 | Thomas Gavin | Prosthetic/Orthotic Supplier | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 | 2019-04-16 |
| 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.