Gulf Coast Limb & Brace

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GULF COAST LIMB & BRACE

Practice address

3506 Washington Ave Ste D
Gulfport, MS 39507-3102

Phone

(228) 864-4512

Fax

(228) 864-5339

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alberto L Alvarez, ORTHOTIST/PROSTHETISNPI 1659869048

Title

Owner

Phone

(228) 864-4512

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alberto L Alvarez, CPO

  • Orthotist
  • Gulfport, MS
  • NPI 1659869048

  Prosthetist

  NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1073535860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE",
            "address_2": "SUITE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073103",
            "telephone_number": "228-864-4512",
            "fax_number": "228-864-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 WASHINGTON AVE STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073102",
            "telephone_number": "228-864-4512",
            "fax_number": "228-864-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST LIMB & BRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-864-4512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ORTHOTIST/PROSTHETIS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00011709",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040133",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Endocrinology
• Gulf Coast Endodontic Associates, LLC
• Gulf Coast Imaging
• Gulf Coast Interventional Pain Management Clinic, Inc
• Gulf Coast Interventional Pain Management Clinic, Inc.
• Gulf Coast Lung and Sleep Medicine Institute, LLC
• Gulf Coast Medical Transport LLC
• Gulf Coast Mental Health Center
• Gulf Coast Mental Health Center
• Gulf Coast Mental Health Center

• Durable Medical Equipment & Medical Supplies in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.