B. Scott Goralnik, ORTHOTIC FITTER

Primary specialty

Orthotic FitterTaxonomy code 225000000X

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

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• B&G Rehab Inc.

  • Prosthetic/Orthotic Supplier
  • Ormond Beach, FL
  • NPI 1073924866
  NPD Authorized official

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1073924940",
    "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": {
        "last_name": "GORALNIK",
        "first_name": "B.",
        "middle_name": "SCOTT",
        "credential": "ORTHOTIC FITTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lyann Gonzalez, ARNP
• Lisset Gonzalez, DDS
• Sarah Elizabeth Goodman, ARNP
• Amy Goodpasture
• Tiffany D Googin
• Kim M Goss, COTA
• Denis B Goudreau, R.PH.
• Kerri-Ann Graham Michaux, D.M.D.
• Paul M Graham, DO, FAAD
• Granada Emergency Physicians

• Orthotic Fitter in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Orthotic Fitter in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.