ADVANTAGE MEDICAL SUPPLY, INC. – Oxygen Equipment & Supplies (DME), NPI 1770579971

ADVANTAGE MEDICAL SUPPLY, INC. is a healthcare provider. based in Brigham city, Utah. specializing in Oxygen Equipment & Supplies (DME). The organization holds a License No. 5132186-1714 (UT). The NPI Number for ADVANTAGE MEDICAL SUPPLY, INC. is 1770579971

Main info

Organization
Name
ADVANTAGE MEDICAL SUPPLY, INC.
NPI
1770579971
Phone
(435) 734-0488
Address
590 GREENWOOD DR
Authorized Official
SHANE MEACHAM PRESIDENT
Enumeration Date
22 September 2005
Last Update Date
4 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ADVANTAGE MEDICAL SUPPLY, INC.

  • 590, Greenwood Drive, Brigham City, Box Elder County, Utah, 84302, United States

    BRIGHAM CITY, UT 843024736

    Phone: (435) 734-0488

    Fax: (435) 734-0489

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (619 days ago).

Enrollment records

1

Earliest due date

2024-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930053015OMedical Supply Company With Respiratory TherapistUT2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84302)

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Reviews

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Frequently asked questions

What unique ID ties claims to ADVANTAGE MEDICAL SUPPLY, INC.?
NPI 1770579971 is assigned to ADVANTAGE MEDICAL SUPPLY, INC. under the national enumeration system.
Does this profile mean ADVANTAGE MEDICAL SUPPLY, INC. is currently active?
Yes — ADVANTAGE MEDICAL SUPPLY, INC. appears active in the national provider directory.
Can you summarize ADVANTAGE MEDICAL SUPPLY, INC.'s specialty in plain language?
Clinically, the directory lists ADVANTAGE MEDICAL SUPPLY, INC. with Oxygen Equipment & Supplies (DME). Clinical services aligned with this taxonomy classification.
What location shows for ADVANTAGE MEDICAL SUPPLY, INC.?
We surface Brigham City, Utah for ADVANTAGE MEDICAL SUPPLY, INC. based on available NPPES addresses.
Is ADVANTAGE MEDICAL SUPPLY, INC. a real provider?
This page reflects official NPPES data for NPI 1770579971. Always confirm identity and privileges with the practice and licensing boards.

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