Provider Demographics
NPI:1518304617
Name:R.D.B. ENTERPRISES LLC
Entity Type:Organization
Organization Name:R.D.B. ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANSCUMB
Authorized Official - Suffix:
Authorized Official - Credentials:8165087660
Authorized Official - Phone:800-666-0219
Mailing Address - Street 1:PO BOX 5233
Mailing Address - Street 2:10011 E 67TH
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-0233
Mailing Address - Country:US
Mailing Address - Phone:800-666-0219
Mailing Address - Fax:816-478-5145
Practice Address - Street 1:10011 E 67TH ST
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-5218
Practice Address - Country:US
Practice Address - Phone:800-666-0219
Practice Address - Fax:816-478-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies