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Reliable Medical Supply LLC

Durable Medical Equipment & Medical Supplies in Brooklyn Park, MN · enumerated 2005 · authorized official Kiley Russell, Senior Director of Payor Relations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710984869

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Registry record

Entity type Organization (Type 2)
Legal business name Reliable Medical Supply LLC
Practice address 9495 Winnetka Ave N Ste 200, Brooklyn Park, MN, 55445
Fax (763) 255-3900
Enumeration date Jul 5, 2005
Last updated in NPPES Jun 4, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary
332BC3200X Customized Equipment (DME) Suppliers Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Secondary

Authorized official

Name Kiley Russell
Title Senior Director of Payor Relations

Other identifiers

Identifier Type State Issuer
41656500 Medicaid WI -
0990390 Medicaid IA -
105239 Other MN UCARE
1030555 Other MN PREFERRED ONE
8214389 Other MN MEDICA CHOICE
8200081 Other MN MEDICA PRIMARY
765357 Other FM ARAZ
8214389 Other MN SELECT CARE
3184 Other MN HEALTHPARTNERS
60677RE Other MN BLUE CROSS BLUE SHIELD
915363200 Medicaid MN -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-04. Verify at npiregistry.cms.hhs.gov.
Where is Reliable Medical Supply LLC located?
The practice location on file with NPPES is in Brooklyn Park, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-04.