MEDICARE: BYRAM HEALTHCARE CENTERS, 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

General Provider Information

NPI Number	:	1801103023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BYRAM HEALTHCARE CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 277596
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-7596
Country	:	US
Telephone Number	:	770-442-5516
Fax Number	:	770-590-8563

Provider Business Practice Location Address
First Line	:	3010 WOODCREEK DR
Second Line	:	SUITE A
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5415
Country	:	US
Telephone Number	:	630-271-9041
Fax Number	:	630-271-9455

Authorized Official
Title or Position	:	CEO&PRESIDENT
Name	:	MR. PERRY A BERNOCCHI
Credential	:
Telephone Number	:	914-286-2000

Provider Enumeration Date	:	09/09/2010
Last Update Date	:	09/09/2010

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