Active NPI
Southeastern Bracing LLC
- Durable Medical Equipment & Medical Supplies
- Birmingham, AL
National Provider Identifier
1013416155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTHEASTERN BRACING LLC
- Practice address
- 200 Cahaba Park Cir Ste 212
Birmingham, AL 35242-8115 - Phone
- (205) 807-2251
- Fax
- (205) 582-9641
- NPI assigned
- Feb 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Eric McBrayer, ORTHOTIC FITTER
- Title
- President
- Phone
- (205) 807-2251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
200 Cahaba Park Cir Ste 212
Birmingham, AL 35242-8115
Mailing address
120 Austin Cir
Birmingham, AL 35242-7069
Phone (205) 807-2251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190613000761 | AL | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 5496088049 | Practice locations: Birmingham, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Southeastern Bracing LLC | Osteogenesis Stimulators|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
200 Cahaba Park Cir
Ste 212
Birmingham, AL 35242
Phone (205) 807-2251
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Electroneurodiagnostic Specialist/Technologist
- Gadsden, AL
- NPI 1063132959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1013416155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 AUSTIN CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352427069",
"telephone_number": "205-807-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CAHABA PARK CIR STE 212",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428115",
"telephone_number": "205-807-2251",
"fax_number": "205-582-9641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN BRACING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "MCBRAYER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-807-2251",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ORTHOTIC FITTER"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- Southeast Medical Group LLC
- Southeast Rehab Medicine Inc
- Southeast Systemic Therapy and Consulting
- Southeaster Ocular Prosthetics
- Southeastern Brace, LLC
- Southeastern Dermatology Centers
- Southeastern Diagnostic & Rehabilitation, LLC
- Southeastern Hospital Medicine LLC
- Southeastern Oncology Associates, PC
- Southern Anesthesia Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.