Provider Demographics
NPI:1669880472
Name:MED - PLUS MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:MED - PLUS MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-922-5446
Mailing Address - Street 1:7506 ENTERPRISE AVE
Mailing Address - Street 2:STE B
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3802
Mailing Address - Country:US
Mailing Address - Phone:901-922-5446
Mailing Address - Fax:901-922-5447
Practice Address - Street 1:2160 MOORES MILL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8487
Practice Address - Country:US
Practice Address - Phone:334-524-8300
Practice Address - Fax:901-922-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6457180001Medicare NSC