Active NPI
Bristol Orthotics & Prosthetics, Inc
- Prosthetic/Orthotic Supplier
- Johnson City, TN
National Provider Identifier
1023540267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BRISTOL ORTHOTICS & PROSTHETICS, INC
- Practice address
- 114 W Springbrook Dr
Johnson City, TN 37604-1757 - Phone
- (423) 900-8906
- Fax
- (423) 722-3411
- NPI assigned
- Mar 28, 2017
- 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
- Sandra Newport
- Title
- C.O.O.
- Phone
- (423) 900-8909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
114 W Springbrook Dr
Johnson City, TN 37604-1757
Mailing address
553 Highway 126
Bristol, TN 37620-1685
Phone (423) 968-4442
National Provider Directory
National Provider DirectoryLocations
1901 Brookside Dr
Ste 105
Kingsport, TN 37660
Phone (423) 246-3324
445 Porterfield Hwy SW
Ste C
Abingdon, VA 24210
Phone (276) 451-2239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490659200000",
"number": "1023540267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 HIGHWAY 126",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201685",
"telephone_number": "423-968-4442",
"fax_number": "423-968-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W SPRINGBROOK DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041757",
"telephone_number": "423-900-8906",
"fax_number": "423-722-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRISTOL ORTHOTICS & PROSTHETICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A",
"authorized_official_last_name": "NEWPORT",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "423-900-8909"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.