MEDICARE: BEACH MEDICAL SUPPLIERS LLC

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	:	1437652823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEACH MEDICAL SUPPLIERS LLC

Provider Business Mailing Address
First Line	:	2256 WEST GREAT NECK RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2256 W. GREAT NECK RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451
Country	:	US
Telephone Number	:	757-500-4476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JORDAN BROOME
Credential	:
Telephone Number	:	757-500-4476

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	03/13/2018

Similar Medicare Providers

1568314888 — MUNEMI YASEYAMA RN
Practice Location Address:

870 READING RD
VIRGINIA BEACH, VA
23451-4817

Practice Phone: 757-383-3984
Practice Fax:

1639244841 — DR. ROBERT BENEDICT THOMA D.C., P.C.
Practice Location Address:

2244 SUNSTATES CT , SUITE 104
VIRGINIA BEACH, VA
23451-1552

Practice Phone: 757-481-5444
Practice Fax: 757-481-0048

1699625467 — COMMUNITY CRU
Practice Location Address:

1621 BAILEY LN
VIRGINIA BEACH, VA
23451-5942

Practice Phone: 757-955-1052
Practice Fax:

1215304787 — MRS. LINDSEY PYATT MAYKOWSKI MA
Practice Location Address:

1064 LASKIN RD STE 14C
VIRGINIA BEACH, VA
23451-6337

Practice Phone: 757-233-1500
Practice Fax:

1972506822 — MICHAEL PAIGE FOLCK DDS
Practice Location Address:

1385 LASKIN RD
VIRGINIA BEACH, VA
23451-6079

Practice Phone: 757-428-7440
Practice Fax: 757-428-3452

1770586216 — STANLEY L CHICKEY DDS
Practice Location Address:

3304 ARCTIC AVE
VIRGINIA BEACH, VA
23451-2913

Practice Phone: 757-481-3305
Practice Fax: 757-481-7157

1144224940 — MODERN MOBILITY, INC.
Practice Location Address:

849 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA
23451-4235

Practice Phone: 757-437-2501
Practice Fax: 757-437-2503

Directions to “BEACH MEDICAL SUPPLIERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.