Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boettcher Home Medical Supply, LLC

Organization Customized Equipment (DME) · NPI 1255472114

Boettcher Home Medical Supply, LLC provides Customized Equipment (DME) in Bridgeport, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

6230 Dixie Hwy
Bridgeport, MI 48722-9513
Phone: (989) 777-2196
Fax: (989) 777-3384
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence D1437T (MI)

Record details

NPI number1255472114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Boettcher — Owner · (989) 928-1091
NPI enumeratedFebruary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6230 Dixie Hwy, Bridgeport, MI 48722-9513

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