Provider Demographics
NPI:1417640574
Name:BROOK FOREST DME LLC
Entity type:Organization
Organization Name:BROOK FOREST DME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:808-356-9048
Mailing Address - Street 1:27347 W HARDY RD STE 314
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-2106
Mailing Address - Country:US
Mailing Address - Phone:713-836-1905
Mailing Address - Fax:281-720-8087
Practice Address - Street 1:27347 W HARDY RD STE 314
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-2106
Practice Address - Country:US
Practice Address - Phone:713-836-1905
Practice Address - Fax:281-720-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment