Organization
BREG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE MOWRY (CEO)
(760) 795-5440
Entity
Organization
Contact information
Practice address
655 W GRAND AVE, UNIT 205, ELMHURST, IL 60126-1060
(630) 415-3155
(800) 454-9615
Mailing address
2382 FARADAY AVENUE, SUITE 300, CARLSBAD, CA 92008-7220
(760) 795-5440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203.00185
HME AND SERVICES PROVIDER LICENSE
IL
Enumeration date
12/14/2015
Last updated
03/06/2025
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