Organization Active NPI

Southeastern Bracing LLC

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, AL
National Provider Identifier
1013416155
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Nov 8, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20190613000761 AL DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 5496088049 Practice locations: Birmingham, AL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Southeastern Bracing LLC200 Cahaba Park Cir, Birmingham, AL 35242-8115(205) 807-2251 Osteogenesis Stimulators|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jun 13, 2019

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.