Healthcare Provider Details

I. General information

NPI: 1831195551
Provider Name (Legal Business Name): MAJORS MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 PUTNAM PIKE
JOHNSTON RI
02919-1468
US

IV. Provider business mailing address

PO BOX 17279
ESMOND RI
02917-0418
US

V. Phone/Fax

Practice location:
  • Phone: 401-231-7100
  • Fax: 401-231-0763
Mailing address:
  • Phone: 401-231-7100
  • Fax: 401-231-0763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMON BRADLEY
Title or Position: PRESIDENT
Credential:
Phone: 401-231-7100