Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Black Beaver Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1013602135

Black Beaver Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Anadarko, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

123 E Broadway St
Anadarko, OK 73005-2823
Phone: (405) 923-1993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1013602135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Ayres — Billing Manager · (405) 923-1993
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 30, 2023
Certification dateApril 30, 2023
Mailing address123 E Broadway St, Anadarko, OK 73005-2823

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