NPI age
20 years
Enumerated 2006-01-06
● Active Type 2 · Organization
Brackettville Home Medical Supply Llc
Brackettville Home Medical Supply Llc is 1 of 6200 durable medical equipment & medical supplies organizations in Texas.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wiese
General Manager
Last NPPES update
2008-08-20
Source: monthly bulk 2026-05
How this organization compares
Across 6200 active durable medical equipment & medical supplies providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 15% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
302 Military Dr
Brackettville, TX 78832
Mailing address
1011 E 7th St
Del Rio, TX 788404162
Authorized official
Kenneth Edward Wiese
General Manager
📞 8307754060
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 507642 | INSURANCE PROVIDER ID |
| 05 (TX) | 177105702 | |
| 05 (TX) | 177105701 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.