| Organization Name: | BRADLEY G. MAURER |
| NPI Number: | 1720042369 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY GENE MAURER (OWNER) |
| Mailing Address: | 2470 E. Pebble Rd #115 Henderson |
| State: | NV US |
| Postal Code: | 890747092 |
| Phone Number: | 7023869997 |
| Fax Number: | 7022289996 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 06/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 635527296 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |