Healthcare Provider Details

I. General information

NPI: 1821891524
Provider Name (Legal Business Name): BROOK FOREST DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 G ST
FRESNO CA
93706-1618
US

IV. Provider business mailing address

3715 LAKE BEND SHORE DR
SPRING TX
77386-4555
US

V. Phone/Fax

Practice location:
  • Phone: 559-218-5914
  • Fax: 559-552-9660
Mailing address:
  • Phone: 808-356-9048
  • Fax: 559-552-9660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PAUL MESSER
Title or Position: OWNER
Credential:
Phone: 346-413-3685