BWDC MEDICAL EQUIPMENT CO. — NPI 1629068341 (Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in CENTRALIA, IL)

CMS-1500 Box 24J / 33a • NPI

1629068341

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

332BX2000X (CMS B1)

Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

Box 32 Service Location & ZIP+4

123 N LOCUST ST, CENTRALIA, IL, 62801-5303

✓ 9-Digit EDI 837 ZIP+4 (62801-5303)

Practice Phone & Referral Fax

(618) 532-3045

Fax: (618) 533-0572

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629068341 (BWDC MEDICAL EQUIPMENT CO.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629068341` (NPI-2 Organization / Facility)
Provider / Legal Name	BWDC MEDICAL EQUIPMENT CO.
Plain-English Specialty	Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies NUCC Code: `332BX2000X` (Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	123 N LOCUST ST, CENTRALIA, IL, 62801-5303
Practice Telephone / Fax	Tel: (618) 532-3045 \| Fax: (618) 533-0572
Administrative Mailing Address	123 N LOCUST ST, CENTRALIA, IL, 62801-3242
Enumeration & Last Sync	Enumerated: 2005-10-25 \| CMS Record Updated: 2012-05-21
Authorized Official	WESLEY BREEZE (Owner Pres)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

123 N LOCUST ST, CENTRALIA, IL, 62801-5303

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Plain-English Taxonomy & CMS Crosswalk (332BX2000X)

What Does Taxonomy Code 332BX2000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332BX2000X translates to:
"Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B1 (Oxygen supplier)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BWDC MEDICAL EQUIPMENT CO.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332BX2000X` — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	State: IL \| License: `203000105` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BWDC MEDICAL EQUIPMENT CO. (NPI #1629068341)