MEDICARE: B&D MEDICAL ,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	07788	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295704039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&D MEDICAL ,INC.

Provider Business Mailing Address
First Line	:	1613 JIMMIE DAVIS HWY
Second Line	:	SUITE 2
City	:	BOSSIER CITY
State	:	LA
Zip	:	71112-4557
Country	:	US
Telephone Number	:	318-746-2395
Fax Number	:	318-746-2394

Provider Business Practice Location Address
First Line	:	1613 JIMMIE DAVIS HWY
Second Line	:	SUITE 2
City	:	BOSSIER CITY
State	:	LA
Zip	:	71112-4557
Country	:	US
Telephone Number	:	318-746-2395
Fax Number	:	318-746-2394

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. BEVERLY ANN BENECKE
Credential	:
Telephone Number	:	318-746-2395

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	08/22/2020

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1467599894 — DR. KARL G. HEISERMAN D.D.S.
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1613 JIMMIE DAVIS HWY , SUITE 300
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1477885358 — MR. DEREK C HARPER P.T.A.
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1447520150 — LORA P. TEUTSCH LPC
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Directions to “B&D MEDICAL ,INC. ” Practice Location

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