Organization Active NPI

Bristol Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Johnson City, TN
National Provider Identifier
1023540267
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Mar 28, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.