Organization Active NPI

Golden Barbie Industries LLC

  • Prosthetic/Orthotic Supplier
  • Rome, GA
National Provider Identifier
1003572504
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GOLDEN BARBIE INDUSTRIES LLC
Practice address
204 E 15TH St SW
Rome, GA 30161-6420
Phone
(770) 823-4769
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Datrell Brown Sr.
Title
Ceo, Founder
Phone
(770) 823-4769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

204 E 15TH St SW
Rome, GA 30161-6420

Mailing address

204 E 15TH St SW
Rome, GA 30161-6420
Phone (770) 823-4769

Other names 1

  • Golden Barbie Hair Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1003572504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616420",
            "telephone_number": "770-823-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616420",
            "telephone_number": "770-823-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BARBIE INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DATRELL",
        "authorized_official_title_or_position": "CEO, FOUNDER",
        "authorized_official_telephone_number": "770-823-4769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Barbie Hair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.