BTB Orthotic and Prosthetic Solutions LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BTB ORTHOTIC AND PROSTHETIC SOLUTIONS LLC

Doing business as

Premier Orthotic and Prosthetic Solutions

Practice address

805 Varsity Dr
Tupelo, MS 38801

Phone

(662) 213-3617

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Taylor Burks

Title

Ceo

Phone

(662) 213-3617

Specialties & licenses 2

Addresses

Other names 1

• Premier Orthotic and Prosthetic Solutions Doing business as

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1033925268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AUTUMN HILLS DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-213-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTB ORTHOTIC AND PROSTHETIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-213-3617"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Orthotic and Prosthetic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Margaret Bruce, LPC
• Wesley B Bruce
• Sandra M Bruff, LPC
• Peyton Hope Bryant, RN
• John Paul Bryson, DDS
• Donna Buchanan, OT
• Virginia Buchanan
• Robert Charles Buckley, MD
• Tennisha Buckner
• Melissa Bukovi

• Prosthetic/Orthotic Supplier in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.