Provider Demographics
NPI:1326216466
Name:BFRW INC
Entity Type:Organization
Organization Name:BFRW INC
Other - Org Name:SHOPES SHOES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BRAFFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:704-904-9142
Mailing Address - Street 1:1843 E DIXON BLVD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-6901
Mailing Address - Country:US
Mailing Address - Phone:704-482-8653
Mailing Address - Fax:704-480-6177
Practice Address - Street 1:1843 E DIXON BLVD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-6901
Practice Address - Country:US
Practice Address - Phone:704-482-8653
Practice Address - Fax:704-480-6177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4502640001Medicare NSC