Provider Demographics
NPI:1396815726
Name:B & B MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:B & B MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESPEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-235-9548
Mailing Address - Street 1:2236 NW 10TH ST
Mailing Address - Street 2:103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5668
Mailing Address - Country:US
Mailing Address - Phone:405-235-9548
Mailing Address - Fax:405-272-0889
Practice Address - Street 1:1835 NONCONNAH BLVD
Practice Address - Street 2:147
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38132-2116
Practice Address - Country:US
Practice Address - Phone:901-944-0020
Practice Address - Fax:901-346-3008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002148332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1454919Medicaid
TN4017108OtherBC/BS
TN=========001OtherTRICARE
TN1454919Medicaid