MEDICARE: BREG, 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
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1699142307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREG, INC.

Provider Business Mailing Address
First Line	:	2382 FARADAY AVENUE
Second Line	:	SUITE 300
City	:	CARLSBAD
State	:	CA
Zip	:	92008-7220
Country	:	US
Telephone Number	:	760-795-5440
Fax Number	:

Provider Business Practice Location Address
First Line	:	2452 S TRENTON WAY
Second Line	:	UNIT C
City	:	DENVER
State	:	CO
Zip	:	80231-7627
Country	:	US
Telephone Number	:	303-751-2150
Fax Number	:	800-454-9615

Authorized Official
Title or Position	:	CEO
Name	:	DAVE MOWRY
Credential	:
Telephone Number	:	405-615-8496

Provider Enumeration Date	:	08/28/2015
Last Update Date	:	03/06/2025

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