Provider Demographics
NPI:1831195551
Name:MAJORS MEDICAL SUPPLY
Entity type:Organization
Organization Name:MAJORS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-231-7100
Mailing Address - Street 1:PO BOX 17279
Mailing Address - Street 2:
Mailing Address - City:ESMOND
Mailing Address - State:RI
Mailing Address - Zip Code:02917-0418
Mailing Address - Country:US
Mailing Address - Phone:401-231-7100
Mailing Address - Fax:401-231-0763
Practice Address - Street 1:197 PUTNAM PIKE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-1468
Practice Address - Country:US
Practice Address - Phone:401-231-7100
Practice Address - Fax:401-231-0763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4766855002OtherCIGNA
RI625455OtherTRIGON
RI28025OtherNHP
RI7572-7OtherBLUE CROSS RI
RI8180001Medicaid
RI87726OtherUHP
MAZ63204OtherMA BLUE CROSS
RI4766855002OtherCIGNA