Healthcare Provider Details

I. General information

NPI: 1659285187
Provider Name (Legal Business Name): B & G MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 VEROT SCHOOL RD STE B
LAFAYETTE LA
70508-5026
US

IV. Provider business mailing address

516 VEROT SCHOOL RD STE B
LAFAYETTE LA
70508-5026
US

V. Phone/Fax

Practice location:
  • Phone: 337-303-8688
  • Fax:
Mailing address:
  • Phone: 337-303-8688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: GWENDOLYN DELATTE
Title or Position: OWNER
Credential:
Phone: 337-303-8688