Formfire, LLC
Formfire, LLC is a healthcare organization registered as Supports Brokerage Agency in Cleveland, OH, holding Type 2 (organization) NPI 1043630015 since 2014. The authorized official on file is Michael Epp, Co-Founder / Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043630015 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Formfire, LLC |
| Practice address | 1360 E 9TH ST, SUITE 850, Cleveland, OH, 44114 |
| Phone | 2163577400 |
| Enumeration date | 2014-04-17 |
| Last updated in NPPES | 2014-04-17 |
Authorized official
| Name | Michael Epp |
|---|---|
| Title | Co-Founder / Ceo |
| Phone | 2165022320 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage Agency | Primary | — | — |
Copy-ready billing details
Provider: Formfire, LLC NPI: 1043630015 Taxonomy: 251X00000X (Supports Brokerage Agency) Address: 1360 E 9TH ST, SUITE 850, Cleveland, OH, 44114
Verify this record
Cross-check NPI 1043630015 against the authoritative CMS record: view Formfire, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Formfire, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-04-17.