Provider Demographics
NPI:1821891524
Name:BROOK FOREST DME LLC
Entity type:Organization
Organization Name:BROOK FOREST DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-413-3685
Mailing Address - Street 1:3715 LAKE BEND SHORE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4555
Mailing Address - Country:US
Mailing Address - Phone:808-356-9048
Mailing Address - Fax:559-552-9660
Practice Address - Street 1:1931 G ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-1618
Practice Address - Country:US
Practice Address - Phone:559-218-5914
Practice Address - Fax:559-552-9660
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOK FOREST DME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies