BRENT WALTERS (NPI# 1942673850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942673850 |
| Entity Type | Individual |
| Full Name | BRENT WALTERS |
| Practice Address |
308 Deer Holw Brandon MS 39047-6468 |
| Practice Telephone | 5046555339 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MS | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665482 | Brent Walters | Hearing Instrument Specialist | 162 E Golf Rd, Schaumburg, IL 60173-3726 | 2020-03-26 |
| 1407194566 | Brent Walters | Counselor | 524 W Park Ave, Barberton, OH 44203-2580 | 2013-01-24 |
| 1376801670 | Brent Walters | Specialist/Technologist | 200 High St, Glenville, WV 26351-1200 | 2012-04-25 |
| 1568633899 | Brent Walters | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2008-03-14 |
| 1891855425 | Brent William Walters | Family Medicine | 8070 E Morgan Trl, Suite 202, Scottsdale, AZ 85258-1227 | 2006-12-12 |
| Street Address |
308 DEER HOLW |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346614765 | Medezin, LLC | Durable Medical Equipment & Medical Supplies | 308 Deer Holw, Brandon, MS 39047-6468 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667781 | Janz Medical Supply | Durable Medical Equipment & Medical Supplies | Building 998 Boston Rd, Brandon, ENGLAND IP27 9PN | 2020-07-23 |
| 1407333719 | Graceful Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 220 W Brandon Blvd Ste 206, Brandon, FL 33511-5100 | 2018-07-20 |
| 1306245618 | Datin Medical Supply | Durable Medical Equipment & Medical Supplies | 2151 Highway 18 Ste E, Brandon, MS 39042-2492 | 2014-08-22 |
| 1275958423 | Datin Medical Supply | Durable Medical Equipment & Medical Supplies | 2151 Highway 18, Brandon, MS 39042-2492 | 2014-02-25 |
| 1972927622 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 320 Oakfield Dr Ste C, Brandon, FL 33511-5742 | 2014-02-14 |
| 1508289000 | Matthew Lay Davis | Durable Medical Equipment & Medical Supplies | 73 Glenway Pl, Brandon, MS 39042-2530 | 2014-02-04 |
| 1336434315 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 901 Lithia Pinecrest Rd, Brandon, FL 33511-6120 | 2011-06-17 |
| 1952603789 | Easycare Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 210 S Kings Ave, Unit L, Brandon, FL 33511-5705 | 2010-11-30 |
| 1427389873 | Constance Schene Washington | Durable Medical Equipment & Medical Supplies | 450 Pecan Cir, Brandon, MS 39042-7403 | 2010-01-25 |
| 1831331230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1790 W Government St, Brandon, MS 39042-2411 | 2009-03-31 |
| Find all providers in BRANDON | ||||
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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.