Organization Active NPI

B&G Rehab Inc.

  • Prosthetic/Orthotic Supplier
  • Ormond Beach, FL
National Provider Identifier
1073924866
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
B&G REHAB INC.
Practice address
533 N Nova Rd
Suite 109
Ormond Beach, FL 32174-4447
Phone
(386) 310-4359
Fax
(386) 310-4394
NPI assigned
May 14, 2014
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mr. B. Scott Goralnik, ORTHOTISTNPI 1073924940
Title
President
Phone
(386) 310-4359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

533 N Nova Rd
Suite 109
Ormond Beach, FL 32174-4447

Mailing address

533 N Nova Rd
Suite 109
Ormond Beach, FL 32174-4447
Phone (386) 310-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150220000650 FL DME Supplier - Orthotic Personnel 1557686276 Practice locations: Ormond Beach, FL

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
B & G Rehab Inc533 N Nova Road, Ormond Beach, FL 32174-4420(386) 310-4359 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Oct 18, 2014

National Provider Directory

National Provider Directory

Locations

533 N Nova Rd
Ste 109
Ormond Beach, FL 32174
Phone (386) 310-4359

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1073924866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "address_2": "SUITE 109",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-310-4359",
            "fax_number": "386-310-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "address_2": "SUITE 109",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-310-4359",
            "fax_number": "386-310-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "GORALNIK",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-310-4359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.