Simmons, Bryan D.
Simmons, Bryan D. is an sole proprietor health care provider with primary practice located at 555 S Shoreline Blvd Suite 101, Corpus Christi TX 78401-3552. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Home Modifications, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Suppliers / Customized Equipment is his primary health care specialty. Simmons, Bryan D. can be contacted via phone (361) 887-9456.Contact Information
Primary practice address
555 S Shoreline Blvd Suite 101
Corpus Christi TX 78401-3552
Phone: (361) 887-9456
Fax: (361) 887-7300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 0053646 | Texas |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0053646 | Texas |
| Suppliers / Customized Equipment | 332BC3200X | 0053646 | Texas |
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 0053646 | Texas |
Profile Details
| NPI number | 1174550149 |
|---|---|
| LBN Legal business name | Simmons, Bryan D. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | May 25th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174550149 | NPPES |
| Texas | MEDICAID | 154894302 | |
| Texas | MEDICAID | 154894303 | |
| Texas | MEDICAID | 154894304 | |
| Texas | MEDICAID | 154894301 |
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