Innovative Medical Supply, Llc
Durable Medical Equipment & Medical Supplies
1501 Se 4th St, Suite D, Moore
Oklahoma, 73160-8231
405-799-8855 405-799-8860
Innovative Medical Supply, Llc is a Durable Medical Equipment & Medical Supplies in Moore, Oklahoma. It is located at 1501 Se 4th St, Suite D, Moore and it's customer support contact number is 405-799-8855. The authorized person of Innovative Medical Supply, Llc is Mr. Brian K Berry who is Member of this DME and his contact number is 405-799-8855. Innovative Medical Supply, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Innovative Medical Supply, Llc is a 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.
DME Supplier Details:
Innovative Medical Supply, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Innovative Medical Supply, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1501 Se 4th St, Suite D, Moore,
Oklahoma, 73160-8231 |
| Phone: | 405-799-8855 |
| Fax: | 405-799-8860 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Brian K Berry |
| Position: | Member |
| Contact Number: | 405-799-8855 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1679570121 |
| NPI Enumeration Date: | 30 Jun, 2005 |
| NPI Last Update On: | 27 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Medical Supply, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2023000A | Medicaid | Oklahoma | |
| 209078400 | Other | Oklahoma | Dept Of Labor Provider # |
| 20536475001 | Other | Oklahoma | Tricare Provider Number |
Medicare Enrollment:
Innovative Medical Supply, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4789891789 | O20100930092780 | Innovative Medical Supply Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Innovative Medical Supply, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Nutrients | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Patient Lifts |
| • Seat Lift Mechanisms | • Urological Supplies |
| • Walkers | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1501 Se 4th St,
Moore, Oklahoma |
| Zip: | 73160-8231 |
| Phone Number: | 405-799-8855 |
| Fax Number: | 405-799-8860 |
Patients can reach Innovative Medical Supply, Llc at
1501 Se 4th St, Suite D, Moore, Oklahoma or can
call on customer care at 405-799-8855.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.