MEDICARE: BARBER DME SUPPLY GROUP

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	:	1013892140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBER DME SUPPLY GROUP

Provider Business Mailing Address
First Line	:	6066 LEESBURG PIKE FL 9
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 ROCK MERRITT AVE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-745-8603
Fax Number	:

Authorized Official
Title or Position	:	REVENUE DIRECTOR
Name	:	ERIKA KING
Credential	:
Telephone Number	:	863-348-1384

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/08/2025

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