MR. JERRY LEE LONG JR.
NPI 1881240349
Durable Medical Equipment & Medical Supplies - Customized Equipment in Saint Louis, MO

Active since August 12, 2019
6654 BITTEROOT LN, SAINT LOUIS, MO 63134(813) 494-1282 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry Lee Long Jr. NPPES

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

MR. JERRY LEE LONG JR. (NPI 1881240349) is an individual customized equipment provider in Saint Louis, Missouri and active in the NPI registry since August 2019. He maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1881240349
Entity TypeIndividualMale
Primary Taxonomy332BC3200X
Provider Legal NameMR. JERRY LEE LONG JR.
Location Address6654 BITTEROOT LNSaint Louis, MO 63134-1451
Mailing AddressPo Box 34086Saint Louis, MO 63134-0086 · (813) 494-1282
Sole ProprietorYes
Enumeration DateAugust 12, 2019
NPI 1881240349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

6654 BITTEROOT LN, Saint Louis, MO 63134

Secondary Practice Location 1

Location 15474 Williams Rd Ste 1BTampa, FL 33610-9345 · Phone (813) 494-1282

Other Providers at the Same Location NPPES

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

Mastectomy Fitter
6654 BITTEROOT LN
BERKELEY, MO 63134

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 Jerry Long's NPI number?

The NPI number for Jerry Long is 1881240349. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Jerry Long located?

Jerry Long practices at 6654 Bitteroot Ln, Saint Louis, MO 63134. The listed phone number is (813) 494-1282.

What is Jerry Long's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Jerry Long was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.