BLACK BEAVER MEDICAL SUPPLY LLC
NPI 1013602135
Durable Medical Equipment & Medical Supplies in Anadarko, OK

Q: What is Black Beaver Medical Supply LLC's NPI number?

The NPI number for Black Beaver Medical Supply LLC is 1013602135. It was assigned to this organization in the NPPES registry on April 5, 2023.

Q: What is Black Beaver Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 05, 2023

123 E BROADWAY ST, ANADARKO, OK 73005(405) 923-1993 Get Directions Write a Review

NPPES record last updated: April 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Black Beaver Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK BEAVER MEDICAL SUPPLY LLC (NPI 1013602135) is a healthcare organization registered as a durable medical equipment & medical supplies in Anadarko, Oklahoma and active in the NPI registry since April 2023. The organization lists Justin Patrick Ayres, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1013602135

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameBLACK BEAVER MEDICAL SUPPLY LLC

Location Address123 E BROADWAY STAnadarko, OK 73005-2823

Mailing Address123 E Broadway StAnadarko, OK 73005-2823 · (405) 923-1993

Phone(405) 923-1993

Organization SubpartNo

Authorized OfficialJustin Patrick AyresBilling Manager · (405) 923-1993

Enumeration DateApril 5, 2023

Last NPPES UpdateApril 30, 2023

NPPES CertifiedApril 30, 2023

✔ NPI 1013602135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

123 E BROADWAY ST, Anadarko, OK 73005

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Beaver Medical Supply LLC's NPI number?

The NPI number for Black Beaver Medical Supply LLC is 1013602135. It was assigned to this organization in the NPPES registry on April 5, 2023.

Where is Black Beaver Medical Supply LLC located?

Black Beaver Medical Supply LLC is located at 123 E Broadway St, Anadarko, OK 73005. The listed phone number is (405) 923-1993.

What is Black Beaver Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Black Beaver Medical Supply LLC was last updated on April 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.