MEDICARE: BP HOME MEDICAL SUPPLY INC.

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	729	AL
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467524447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BP HOME MEDICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	730 MEMORIAL DRIVE
Second Line	:	SUITE 100
City	:	BESSEMER
State	:	AL
Zip	:	35022-6029
Country	:	US
Telephone Number	:	205-428-5113
Fax Number	:	205-424-6786

Provider Business Practice Location Address
First Line	:	730 MEMORIAL DRIVE
Second Line	:	SUITE 100
City	:	BESSEMER
State	:	AL
Zip	:	35022-6029
Country	:	US
Telephone Number	:	205-428-5113
Fax Number	:	205-424-6786

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. EDWARD A CINGORANELLI II
Credential	:
Telephone Number	:	205-428-5113

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	11/03/2008

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