Provider Demographics
NPI:1598096513
Name:BFRW INC
Entity Type:Organization
Organization Name:BFRW INC
Other - Org Name:CATAWBA SHOES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
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:828-431-4804
Mailing Address - Street 1:2156 US HIGHWAY 70 SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-5170
Mailing Address - Country:US
Mailing Address - Phone:828-431-4804
Mailing Address - Fax:828-431-4805
Practice Address - Street 1:2156 US HIGHWAY 70 SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-5170
Practice Address - Country:US
Practice Address - Phone:828-431-4804
Practice Address - Fax:828-431-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332BC3200X332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment