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

Premier Mastectomy Vendor LLC

Organization Mastectomy Fitter · NPI 1699458380

Premier Mastectomy Vendor LLC is a Mastectomy Fitter in Montgomery, Alabama. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

5911 Monticello Dr Ste B
Montgomery, AL 36117-1940
Phone: (629) 279-5720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mastectomy Fitter (primary) Taxonomy 224900000X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1699458380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasmine Bean — Co-Owner · (629) 279-5270
NPI enumeratedAugust 9, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address5911 Monticello Dr Ste B, Montgomery, AL 36117-1940

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