MEDICARE: BRANNONS RENTALS & SALES, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	067479207	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841484441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANNONS RENTALS & SALES, INC.

Provider Business Mailing Address
First Line	:	2052 LINCOLN AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-3539
Country	:	US
Telephone Number	:	408-448-3000
Fax Number	:	408-448-2076

Provider Business Practice Location Address
First Line	:	1 JOHN ST
Second Line	:	SUITE B
City	:	SAND CITY
State	:	CA
Zip	:	93955-3063
Country	:	US
Telephone Number	:	831-899-1200
Fax Number	:	831-899-1235

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JACQUELYN JANE AFFONSO
Credential	:
Telephone Number	:	408-448-3000

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	09/08/2010

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