Organization · NPI-2
Bd Medical Supplies LLC
Clinic/Center · Memphis, TN
NPI number1639089253
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1639089253
- Entity type
- Organization (NPI-2)
- Legal business name
- Bd Medical Supplies LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2026
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
3116 Walpole AveMemphis, TN 38118-6773
Phone 945-403-2457 · Fax 945-403-2457
Mailing address
3116 Walpole AveMemphis, TN 38118-6773
Authorized official
Davonte Buford
President
9454032457
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