Provider Demographics
NPI:1386782126
Name:BCB MEDICAL INC
Entity type:Organization
Organization Name:BCB MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-355-0715
Mailing Address - Street 1:46 LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5708
Mailing Address - Country:US
Mailing Address - Phone:912-355-0715
Mailing Address - Fax:
Practice Address - Street 1:46 LEE BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5708
Practice Address - Country:US
Practice Address - Phone:912-355-0715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies