BRACKETTVILLE HOME MEDICAL SUPPLY LLC
NPI 1528046836
Durable Medical Equipment & Medical Supplies in Brackettville, TX

Active since January 06, 2006
302 MILITARY DR, BRACKETTVILLE, TX 78832(830) 563-2200(830) 563-2206 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brackettville Home Medical Supply Llc NPPES

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

BRACKETTVILLE HOME MEDICAL SUPPLY LLC (NPI 1528046836) is a healthcare organization registered as a durable medical equipment & medical supplies in Brackettville, Texas and active in the NPI registry since January 2006. The organization lists Kenneth Edward Wiese, General Manager, as its authorized official.

NPPES Registry Identity

NPI1528046836
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBRACKETTVILLE HOME MEDICAL SUPPLY LLC
Location Address302 MILITARY DRBrackettville, TX 78832
Mailing Address1011 E 7th StDel Rio, TX 78840-4162 · (830) 775-4060 · Fax (730) 775-4038
Fax(830) 563-2206
Organization SubpartNo
Authorized OfficialKenneth Edward WieseGeneral Manager · (830) 775-4060
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 20, 2008
NPI 1528046836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 0082284 (TX)
302 MILITARY DR, Brackettville, TX 78832

Other Identifiers 4

Medicare ID-Type Unspecified5501070001TX · Medicare Provider Id
Medicaid177105701TX
Other507642TX · Insurance Provider Id
Medicaid177105702TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
302 MILITARY DR
BRACKETTVILLE, TX 78832

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 Brackettville Home Medical Supply LLC's NPI number?

The NPI number for Brackettville Home Medical Supply LLC is 1528046836. It was assigned to this organization in the NPPES registry on January 6, 2006.

Where is Brackettville Home Medical Supply LLC located?

Brackettville Home Medical Supply LLC is located at 302 Military Dr, Brackettville, TX 78832. The listed phone number is (830) 563-2200.

What is Brackettville Home 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 Brackettville Home Medical Supply LLC was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.