MEDICARE: BIVIE R MAYS

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	335E00000X	Prosthetic/Orthotic Supplier		IN

General Provider Information

NPI Number	:	1780519678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIVIE R MAYS

Provider Business Mailing Address
First Line	:	4319 W 77TH AVE
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-5892
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1649 E 80TH AVE
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-5737
Country	:	US
Telephone Number	:	219-614-5978
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ BIVIE R MAYS ” Practice Location

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